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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw Social Distancing
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Message From THE CHAIRMAN Central Executive Committee It gives me immense pleasure to share the progress of Hiralal Santudevi Pradhan Institute of Ophthalmic Science (Bharatpur Eye Hospital) through the annual progress. The hospital was established under Nepal Netra Jyoti Sangh and is delivering accessible and affordable eye care services later on it was upgraded as an institute which started to produce quality ophthalmic human resources for eye care in Nepal.
Guidance of Central NNJS, support from INGOs, contribution of local donors, support from local NNJS Executives and members and local community people of Bharatpur was crucial in developing and delivering quality eye care services.
I would like to express my sincere thanks and gratitude to all NNJS volunteers and the entire staffs of Bharatpur Eye Hospital for their effort to bring this hospital at present state.
Prof. Dr. Chet Raj Pant Chairman Nepal Netra Jyoti Sangh, Central Executive Committee
Netra Jyoti Bhawan, P.O. Box 335 Tripureshwor, Kathmandu, Nepal Phone: 977-1-4261921/4261066/4261166, Fax: 977-1-4261166 Email: [email protected], Website: www.nnjs.org.np
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Message From IMMEDIATE PAST CHAIRMAN, BEH Executive Member, CNNJS
The year 2019-20 has been a challenging year for all of us because of the COVID-19 pandemic. I am pleased to know that Bharatpur Eye Hospital is publishing its annual performance and activities in the form of annual report this year as well. I salute all the staff members of Bharatpur Eye Hospital who continued providing eye care service to the people in this difficult situation.
We have been able to upgrade Bharatpur Eye Hospital as a specialized referral center of this region and looking for developing this hospital as academic human resource training center.
It’s a great achievement however; we still have to reach the unreached cataract blind people in our catchment areas.
I would also like to thank CNNJS for the guidance, support from local and international donors, community leaders, and local government through different means during this period of pandemic.
I also express my sincere thanks and gratitude to the entire staffs of Bharatpur Eye Hospital for their efforts to bring out this annual report.
...... Chija Kumar Maskey Executive Member, CNNJS Immediate Past Chairman Hospital Management Committee Bharatpur Eye Hospital
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Message From THE CHAIRMAN EXECUTIVE COMMITTEE, NNJS CHITWAN
It is indeed a pleasure to know that this year also Bharatpur eye hospital is bringing out the annual report. I would like to congratulate the entire Bharatpur Eye Hospital team for their effort. I would like to thank all the Bharatpur eye hospital family who worked hard and continued providing service to the people as frontlines in spite of the COVID-19 pandemic. This year has been challenging to all the sectors in the country and Bharatpur eye hospital is not an exception, still we have been able to provide service to 1,63,148 patients through Bharatpur Eye Hospital and its networks and provided sight restoring surgeries to 5,143 Patients which is the great achievement. This would not have been possible without the hardworking and devoted staff members of the hospital, guidance and support from CNNJS, donors, NNJS executive committee and community leaders in this difficult times.
Finally I would like to congratulate all Bharatpur Eye Hospital members and specially the editorial team for bringing out this report.
...... Krishna Raj Dharel President Nepal Netra Jyoti Sangh, Chitwan Chairman, Bharatpur Eye Hospital
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw ACKNOWLEDGEMENT
This issue is dedicated to our committed colleagues and staff members for their selfless efforts to keep our hospital alive and active during the pandemic. Eye care during pandemic is by itself a great challenge due to the risks involved.
Our Hospital is practicing all public and personal health measures to keep ourselves and our valuable clients safe. We remained attached with our clients even during lockdown period through telephone, messenger and viber chats.
Thanks to SEVA for encouraging and helping us during this difficult time. Let us all pray to almighty for end of this pandemic soon forever.
Thanks to all our well wishers for support and encouragement.
...... Prof. Dr. Raghunandan Byanju Chief Medical Director Bharatpur Eye Hospital
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Message From SEVA
This gives us immense pleasure to see the overall growth of Bharatpur Eye Hospital The hospital has been engaging various in research activities at the community, teaching learning activities (Ophthalmic Assistant training program, Bachelor of Optometry training program, MD Ophthalmology Residency program and various subspecialty fellowship programs). Hospital is also engaging in various clinical and non-clinical short training programs: such as refraction training, operational research, quality improvement (Infection control).
Bharatpur Eye Hospital has been thinking of equity of services, it has been adding more number of primary Eye care centers in remote area (in its catchments area) and converting Primary eye care centers in to secondary Eye hospital, this is becoming instrumental for the access of eye care services.
Bharatpur Eye Hospital has been conducting outreach activities as part of hospital services: surgical eye camps, disease screening and treatment camps, diabetic retinopathy screening camps, organizing orientation training for the female community Health volunteers.
Seva has been engaging with NNJS Bharatpur Eye hospital since 2 decades, we look forward to collaborate with NNJS Bharatpur Eye Hospital many years to come.
...... Ram Prasad Kandel Program Director Seva Foundation/Seva Canada Society Kathmandu, Nepal
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LIST OF ABBREVIATION A.D. Anno Domini AF Adult Female AM Adult Male AMD Age-Related Macular Degeneration BEH Bharatpur Eye Hospital BCCI Bank of Credit & Commerce of International B.S. Bikram Sambat CBH Chij Kumari Bishnu Kumari OPD Services CTEVT Council of Technical Education of Vocational Training CF Child Female CM Child Male DST Diagnostic Screening Test DCR Dacro cysto Rhinostomy DR Diabetic Retinopathy DST Diagnostic Screening & Treatment ECC Eye Care Center FCHV Female Community Health Volunteers FDT Frequency Doubling Technology FFA Fundus Fluorescein Angiography FY Fiscal Year IP In-Patient INGOs International Non- Government Organizations LAICO Lions Aravind Institute of Community Ophthalmology LCIF Lions Clubs International Foundation KMMEH King Mahendra Memorial Eye Hospital MD Doctor of Medicine. NAMS National Academy of Medical Sciences NGOs Non-Government Organization NNJS Nepal Netra Jyoti Sangh OPD Out Patient Department OCT Optical Coherence Tomography OT Operation Theater SEVA SEVA Foundation, USA/SEVA Canada Society, Canada SICS Small Incision Cataract Surgery UCSF University of California San Francisco USA United States of America USAID United States Agency for International Development USG Ultrasonogram VDC Village Development Committee VIEW Village Integrated Eye Worker Trail
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
TABLE OF CONTENTS Background 1 Profile of Hospital 2 Map of Federal Democratic Republic of Nepal 2 BHARATPUR EYE HOSPITAL NETWORKS 3 Map of Hospital and Eye Care Centers 3 Our Mission, Vision & Value 4 HUMAN RESOURCES 5 Current Staff 5 HOSPITAL SERVICES 5 Bharatpur Eye Hospital Activities 6 Hospital Performance 2019.20 6 Comparative of Fiscal Year 2018.19 & 2019.20 7 OCULAR SURGERIES 8 SPECIALTY SERVICES 9 Pediatric Service 9 Cornea Service 10 Vitreo-Retina Service 10 Oculoplasty Service 12 Glaucoma Service 12 Low Vision & Contact Lens Service 13 Tele-Ophthalmology Service 13 Lab Service 14 EYE CARE CENTER PERFORMANCE 14 OPD Patients 14 Gender Wise Distribution of the OPD Patients 14 Performance of Bharatpur Eye Hospital & its Network 15 OUTREACH EYE CARE ACTIVITIES AND PERFORMANCE 15 Outreach Performance (OPD) 15 Gender wise distribution of the Outreach OPD patients 15 Outreach Performance (Surgeries) 17 School Screening 18 ANNUAL PLAN & HOSPITAL PERFORMANCE 18 COMMUNITY OUTREACH PROGRAM PERFORMANCE & ANNUAL PLAN 2020.21 18 EYE CARE CENTERS PERFORMANCE AND ANNUAL PLAN 2020.21 19 OTHER TRAININGS & CLINICAL EXPOSURE 21 Clinical Exposure from Different Institutes 21 Institutional Activities (long and short term training) 22 Training / Fellowship 23 Fellow and MD Resident (Ophthalmology) 23 Training at BEH 24 RESEARCH 23 VIEW (Village Integrated Eye Workers Trial) 25 Research Paper 30 HOSPITAL CONTRIBUTION (2019.20) 31 STAFFS AT BEH 32 VILLAGE INTEGRATED EYE WORKER TRIAL (VIEW) STAFF 33 RESPECTABLE PERSON WHO VISIT OUR HOSPITAL IN 2019.20 34 FUTURE PLAN 34 EXTRA ACTIVITIES CARRIED 34 SUMMARY 35 ACKNOWLEDGEMENT 35 ANNEXURE 36 Annex I: Map of Service Areas 36 Annex II: Population Profile of Working Districts 36 Annex III: Statistical Trends of Hospital since Its Establishment 36 Annex IV: SUCCESSFUL HUMAN STORY 37 Annex V : Human Story at Simrongardh Surgical Eye Camp 38 Annex VI : lj;{g g;Sg] cfFvfbfg ÷ dxfbfg ÷ klxnf] bfg 39 Annex VII: List of Participants in International & National Seminar from Hospital 40 Annex VIII: Meeting at BEH 43 Annex IX: General Program at BEH 45 xfn;Ddsf ;~rfns ;ldltsf ;efkltHo"x? 46 Nepal Netra Jyoti Sangh Executive Committee, Hospital Management Committee and Sub-Committees 47 Photo on Different Department of BEH 49 Hospital/Eye Care Centers 55 Inauguration of Eye Care Center, Ratnanagar 58 Observational Visit by SEVA Delegates 59 NNJS Convention 60 Photo Gallery 61 Our Generous Donors 71 Condolences 72
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
BACKGROUND
Bharatpur Eye Hospital is located in Chitwan Bharatpur Eye Hospital was established in 1987 district of southern central Nepal, is a non-profit under the aegis of Nepal Netra Jyoti Sangh (NNJS- charitable organization, providing high quality National Society for Comprehensive Eye Care comprehensive eye care services at affordable Service). The hospital building was constructed cost to local as well as patients from neighboring with financial and technical support from BCCI districts; eg. Gorkha, Lamjung, Nawalpur, foundation Pakistan. Initially, it was established Tanahu, Makawanpur, Parsa & Dhading to provide eye care services in Chitwan district comprising of about two million populations. In only but in the pursuit of growth and expansion addition to Base Hospital, BEH has established with the support from various international several eye care centres in different locations to organizations, relentless efforts and commitment provide basic eye care facility to the community. put in, by its staff members and continued BEH currently has following networks of eye care cooperation from local community, have made it centres in under mentioned locations. possible for BEH to serve beyond Chitwan. • Chija Kumar Bishnu Kumari OPD Building The hospital was constructed with the grant (City Clinic) Bharatpur Height. assistance from the Bank of Commerce and • Bharatpur Eye Hospital (Eye Care Center) Credit International (BCCI), Pakistan and the Thori , Parsa Nepal contribution made by His Excellency Mr. Gulam • Eye Care Center, Kawosati, Nawalparasi Ishaq Khan, who was then the President of • Eye Care Center, Parsa-Khairani, Chitwan Pakistan. The hospital building was formally • Eye Care Center, Madi, Chitwan inaugurated by the Late His Majesty King • Eye Care Center, Narshing Dham, Salyantar, Dhading Birendra Bir Bikram Shah Dev on March 31, • Eye Care Center, Sauraha, Chitwan 1988 in the presence of Late Her Majesty Queen • Eye Care Centre, Chanaulii, Chitwan Aishwarya and the President of Pakistan. • Eye Care Centre, Tadi, Ratnanagar, Chitwan There is only one eye hospital known as King • Eye Care Centre, Simranghad, Bara Mahendra Memorial Eye Hospital (KMMEH), recently • Eye Care Centre, Kurintar, Chitwan renamed as Bharatpur Eye Hospital, in Bharatpur • Eye Care Centre, Dudhauli, Sindhuli apart from recently developed eye department of The hospital, named after Late His Majesty King the teaching hospital. (Medical Colleges, there are Mahendra Bir Bikram Shah Dev, is located in the two Private medical colleges, which are having small delightful city of Bharatpur, the capital of Chitwan eye department just to fulfill the requirement of the district, by the bank of Narayani River, a place of medical college).The adjunct districts of Chitwan pilgrimage of the Hindus. The hospital is among are Dhading, Gorkha, Makawanpur, Lamjung, the few pioneer established eye hospitals of Nepal. Tanahu, Parsa and Nawalparasi. All these districts It has an area of 4 Bighas, three-fourths of which are the catchments areas of Bharatpur Eye Hospital is occupied by the hospital building itself, and the Chitwan. Total population of these catchments area remainder is cultivated as forest land. is about 1.5 millions.
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PROFILE OF HOSPITAL
Total Population in the District 579,984 (2011)
Total population in Catchments 3.34 million
Date of Establishment 18 Chaitra, 2044 B.S. (31 March, 1988 A.D.)
Location Bharatpur Metropolitan City, Bharatpur-10, Chitwan
Number of Staff 180 (Including Out Source)
Chief Medical Director Prof. Dr. Raghunandan Byanju
Chairperson (HMC) Mr. Krishna Raj Dharel
Infrastructure No of Beds (62 Beds in base hospital)
MAP OF FEDERAL DEMOCRATIC REPUBLIC OF NEPAL
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Around BEH
NEPAL NETRA JYOTI SANGH
Hiralal Santudevi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL
Bharatpur Eye Hospital, Thori, Parsa Surgical Center, Simranghad, Bara
ECC, Kawaswoti, ECC, Parsa, ECC, Madi, ECC, Salyantaar, ECC, Ratnanagar, CBH, ECC, Chanauli, ECC, Kurintar, ECC, Dudhauli, Nawalpur Chitwan Chitwan Dhading Chitwan Chitwan Chitwan Chitwan Sindhuli BHARATPUR EYE HOSPITAL NETWORKS S.N. Name of ECCs (Locations) Date of Establishment 1 Chij Kumar, Bishnu Kumari OPD Service (City Clinic) Bharatpur 2067 (2010) 2 ECC Kawaswoti (Nawalpur) 2061 (2004) 3 ECC Parsa Khaireni (Chitwan) 2065 (2008) 4 ECC Madi (Chitwan) 2068 (2011) 5 ECC Salyantar (Dhading) 2071 (2014) 6 Bharatpur Eye Hospital, Thori (Parsa) 2072 (2015) 7 ECC Tadi (Chitwan) 2072 (2015) 8 ECC Chanauli (Chitwan) 2072 (2015) 9 ECC Simrongard (Bara) 2073 (2016) 10 ECC Kurintar (Chitwan) 2077 (2020) 11 ECC Dudhauli (Sindhuli) 2077 (2021) Map of Hospital and Eye Care Centers Salyantar, Dhading
Kurintar, Chitwan Ratnanagar CBH Kawasoti Parsa Nawalpur Chanauli Madi Thori, Parsa
Dudhauli, Sindhuli Simrangadh, Bara
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OUR MISSION Providing high quality eye care to prevent unnecessary blindness.
OUR VISION Centre of Excellence in Eye Care
OUR VALUES 1. No one should be denied eye care for economic reason. 2. Competent and compassionate team. 3. Strive for continued improvement in all aspects of patient care. 4. Transparency in function.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
HUMAN RESOURCES Current Staff S.No. Categories Numbers Remarks 1 Ophthalmologists 8 2 Optometrists 3 3 Ophthalmic Officers 2 4 Orthoptists 1 5 IT Officer 1 6 Optomety Fellow 1 7 Ophthalmic Assistant 20 8 VIEW Project Staff 59 9 Staff Nurse 2 10 Lab Technician & Assistant 2 11 Eye Worker 9 12 Pharmacist 2 13 Administrative Staff 33 14 Optical, OPD, OT Helper 16 15 Drivers 4 16 House Keeper 8 Outsource 17 Security Guard 9 Outsource Total 180 HOSPITAL SERVICES -c:ktfndf pknAw ;]jfx?_ • General Out Patient (OP) Service -alx/Ë ;]jf_ • Specialty Services -ljz]if1 ;]jfx?_ • In-Patient Service -cGt/Ë ;]jf_ • Retina Clinic -b[li6 kbf{ ;]jf_ • Emergency Service -cfsl:ds ;]jf_ • Cornea Clinic -slg{of ;]jf_ • Paying Service (Fast Track) -b|'t ;]jf_ • Oculoplasty Clinic -cfFvfsf] Knfl:6s ;h{/L ;]jf_ • Pediatric Clinic -afn cfFvf /f]u ;]jf_ • Social Health Insurance Service -:jf:Yo ladf sfo{qmd_ • Nepal Government -g]kfn ;/sf/_ Glaucoma -hnlaGb' ;]jf_ • Contact Lens Service -sG6ofs6 n]G; ;]jf_ • Laboratory Service -k|of]uzfnf ;]jf_ • Low Vision Service -Go'g b[i6L ;]jf_ • Pharmacy Service -cf}ifwL k;n_ • Orthoptics Service -cyf{]cK6LS;\ ;]jf_ • Optical Service -r:df k;n_ • Private Room (A/C) Cabin Services -k|fO{e]6 P=l;= Soflag ;]jf_ • Eye Health Education & Counseling -cfFvf :jf:Yo lzIff tyf k/fdz{ ;]jf_
COMMUNITY EYE SERVICES (OUTREACH) -;fd'bflos cfFvf ;]jfx?_ • Diagnostic Screening & Treatment (DST) • Surgical Eye Camp -zNolqmof lzlj/_ • School Eye Health Program -ljBfno cfFvf :jf:Yo sfo{qmd_ • Refraction/Low Vision Camp -r:df hfFr tyf Go'g b[i6L lzlj/_ • Diabetic Retinopathy (DR) Screening Camp -dw'd]x ePsf] la/fdLx?sf] cfFvf hfFr lzlj/_ • Eye Health Awareness Camp -cfFvf :jf:Yo hgr]tgf lzlj/_
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Cataract & IOL,
Cornea Clinic & Eye Banking
Orbit & Oculoplasty PATIENT Glaucoma, Retina Clnic
CARE Uvea SERVICE Pediatric/General Anesthesia Contact Lens
Low Vision
Lab Services
SICS fellowship
Retina Fellowship HUMAN MD Residency Bachelor in Optometry & Visual Science RESOURCE PCL in Ophthalmic Science (OA)
DEVELOPMENT Training to different Health Allied Students & TRAINING FCHV Traning School Teacher Training on Vision Testing ACTIVITIES Training Health Post Staffs, Drug Retailers BHARATPUR EYE HOSPITAL EYE BHARATPUR
Cataract screening/surgical camps OUTREACH School Eye Health Program DR Screening Camp & Eye Health Education Training
RESEARCH Village Integrated Eye Workers trial (VIEW)- research project
Hospital Performance 2019.20 Total patient served 1,63,148 Base Hospital 1,03,760 (63.59%) Eye Care Centers 32,456 (19.89%) Outreach activities 29,932 (16.50%) A total of one Lakh sixty three thousand and one Gender Distribution hundred forty eight patients were served through Bharatpur Eye Hospital and all its networks (53.2%) (46.8%) including various outreach activities in the year 2019.20. This is decreased by 18.25% compared to the previous year 2018.19.
Females were more than males for seeking eye care Male Female with 53.2% of females and 46.8% of males.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Bharatpur Eye Hospital and its networks provided service to a total of 1, 63,148 patients in the year 2019.20. 1,03,760 (63.59%) took their service from the base hospital and CBH, 32,456 (19.89%) were served in eye care centers and 26,932 (16.50%) took their service from the different outreach programs. There is decrease in the number of patient by 24.55% because of the COVID-19 pandemic. Gender Wise Proportion S. No. Eye Care Centers AM AF CM CF Total 1 Bharatpur Eye Hospital, Chitwan 33512 40765 6095 4537 84,909 2 CBH Town, Chitwan 6763 9123 1596 1369 18,851 3 Bharatpur Eye Hospital, Thori, Parsa 2859 2686 260 218 6,023 4 ECC Kawaswoti, Chitwan 1472 2047 352 454 4,325 5 ECC Ratnanagar, Chitwan 1287 1705 248 260 3,500 6 ECC Madi, Chitwan 1249 1549 276 309 3,383 7 ECC Parsa, Chitwan 2584 2627 657 624 6,492 8 ECC Chanauli, Chitwan 786 822 157 138 1,903 9 ECC Salyantar, Dhading 870 1083 180 189 2,322 10 ECC Sauraha, Chitwan 532 461 74 78 1,145 11 ECC Simrongard, Bara 1356 1438 302 267 3,363 12 Outreach (DST) 4374 5013 265 296 9,948 13 Outreach (Surgical Camp) 2604 2833 164 165 5,766 14 Outreach (Monthly Clinic) 0 0 0 0 - 15 School Screening 0 0 5265 5678 10,943 16 Refraction Camp 95 55 0 0 150 17 Vision Test Camp 120 5 0 0 125 Total 60,463 72,212 15,891 14,582 163,148
Comparative of Fiscal Year 2018.19 & 2019.20 Fiscal Year 2018.19 Fiscal Year 2019.20
Base 1,37,525 (66.22%) Base 1,03,760 (63.59%) Hosptial Hosptial
Eye Care Eye Care Centers 42,103 (20.27%) Centers 32,456 (19.89%)
Outreach 28,047 (13.50%) Outreach 26,932 (16.50%)
Total 207,675 Total 1,63,148
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw OCULAR SURGERIES: 5,143 ocular surgeries were performed in 2019.20 which is 3.15% of the total patient served. Majority (75%) of the surgeries were cataract surgeries. Category of Surgery Surgery Base Cataract SICS 525 Hospital Base Phaco 1736 Cataract Surgeries 3829 DST SICS 757 Surgical Camp SICS 811 Retina 108 Major Surgeries Oculoplasty 228 Pediatric 48 Cornea 257 Glaucoma 5 Others 100 Minor Surgeries 568 Total 5,143
Ocular Surgeries (5,143) Social Health Insurance Minors 11% Others 2% Glaucoma 1% Cornea 5% Pediatric 1% Occuloplasty 4% Retina 2%
Cataract 75%
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6073 6000 5647 2016/17 2017/18 2018/19 2019/20
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1008 990 1000 484 541 568 224 399 400 443 266 321 228 257 108 177 106 48 24 25 100 15 0 2 14 10 5 0 64 0 Cataract Retina Occuloplasty Pediatric Cornea Glaucoma Minors Others
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
SPECIALTY SERVICES, OPHTHALMOLOGY
PEDIATRIC SERVICE The pediatric ophthalmology service has been running smoothly as a separate department, well equipped with all the necessary instruments and treatment facilities. Ophthalmologists, Optometrists and Orthoptists work together to provide quality service to the patients. In FY 2019.20 a total of 10,632 children were provided out patient services. Majority of children were diagnosed with conjunctivitis and refractive errors. Due to COVID number of pediatric patients have decreased.
25000 23370
18576 19739 20000 19617 17234
15000 13374
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0 2013/14 2014/15 2015/15 2016/17 2017/18 2018/19 2019/20
PEDIATRIC EYE DISEASE PATTERN Disease Category 2018.19 2019.20 Pediatric cataract 50 64 Aphakia 5 6 Conjunctivitis 3451 2095 Cornea 655 305 Glaucoma 18 38 Refractive errors 2437 1299 Strabismus 201 94 Trauma / injury 166 65 Lid and Adnexa 1020 33
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
CORNEA SERVICE
In FY 2019.20 a total of 2,781 patients visited the cornea clinic. Keratitis was the major corneal problem followed by kerato-conjunctitvitis and corneal ulcer. Corneal transplant service started since 2017 and 16 patients underwent corneal transplant in 2019.20 including both therapeutic and optical purpose. Since the establishment of the cornea collection center ten corneas have been collected so far. CORNEAL DISEASE PATTERN Corneal diseases 2018.19 2019.20 Corneal Ulcer 606 332 Corneal Opacity 206 263 Keratitis 1147 978 Kerato-Conjunctivitis 743 354 Others 766 854
VITREO-RETINA SERVICE
It is well established service headed by senior consultant Vitreo-Retinal Surgeon. Almost all necessary equipment’s like OCT, USG, Fundus Photography, FFA & Green Laser are available for diagnosis and treatment of retinal problems. It has also been established as a training center where currently one ophthalmologist is doing his fellowship in retina. In 2019.20 retina departments provided service to a total 3,856 patients of which 108 underwent various retinal surgeries, 25 patients were given intravitral injections, 301 patient underwent LASER treatment and 271 Avastin injection administered. Of the total patients 1610 were diagnosed and treated for diabetic retinopathy. Patients not only from Chitwan and neighboring districts but also from neighboring county like India are provided retinal service in the hospital.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
VITERO RETINA DISEASE PATTERN Retinal Laser Avastin Patient at Referred Year Retina OPD DR DR Camp Surgery treatment Injection DR Camp Patients to BEH 2013-14 1170 (0.88%) 230 429 44 605 - - - 2014-15 1655 (1.19%) 319 588 183 1098 - - - 2015-16 2226 (1.65%) 335 468 208 1332 1 78 7 2016-17 3865 (3.61%) 266 367 264 1560 8 423 34 2017-18 4950 (4.17%) 224 307 290 2312 3 131 15 2018-19 5021 (3.65%) 321 378 318 2338 10 748 59 2019-20 3856 (3.71%) 108 301 271 1610 SN SERVICE No. OF PATIENT 1 RETINA OPD 3856 2 RETINA SURGERY ( VIT + RD ) 108 a AVASTIN INJ (First Dose) 155 b AVASTIN INJ (Second Dose) 55 c AVASTIN INJ (Third Dose) 37 d AVASTIN INJ (Fourth Dose) 24 3 TOTAL INJECTION 271 a BARRAGE LASER 50 b PRP FILL IN LASER 89 c PRP LASER 90 d SECTORAL LASER 49 e FOCAL LASER 23 4 LASER 301 5 FUNDUS PHOTO 576 6 OCT 1457 7 FFA 16 Total 6,585
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
OCULOPLASTY SERVICE
Oculoplasty related treatment was provided to 3,020 patients and 112 patients underwent different surgeries. Pattern of Oculoplasty Surgeries 2018.19 2019.20 DCR 32 22 DCT 12 6 Entropion Correction 91 48 Evisceration of eye ball 11 9 Ptosis 11 14 Squint 10 1 Minor lid surgery 374 12
GLAUCOMA SERVICE A total of 1014 patients were diagnosed with glaucoma suspect and glaucoma in 2019.20 and 5 patients were done surgery. Glaucoma clinic is equipped with instruments like Goldman Perimetry, Frequency Doubling Test (FDT), Optic Disc Photography and OCT that helped in diagnosis and treatment of glaucoma patient. Description 2017.18 2018.19 2019.20 OPD 843 772 1014 Surgery 14 15 5
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
LOW VISION & CONTACT LENS SERVICE
This hospital has provided low vision services since last two years. All kinds of devices available in this hospital. Optical devices, non-optical and electronic devices which are much more significant for low- vision and blind patients. Altogether 29 patients (Male: 16, Female: 13) with low vision were assessed. Special low vision devices were offered to 2 patients. With the increase in the number of retina patients the need of low vision care is increasing and near future we will have a well-equipped low vision clinic with optometrists trained in low vision. In year 2019.20 60 pcs of contact lens were prescribed.
Descriptions 2018.19 2019.20 Telescope 1 1 Cut Away (Stand Magnifier) 1 1 B.I. (Spectacle Magnifier) 1 - Dome Magnifier - - 3x Stand Magnifier 1 - 10x (Spectacle Magnifier) 1 - 2.1x AT TV Spectacle 1 - Total Patient Served : 29 (Male: 16, Female: 13) 6 2
TELE-OPHTHALMOLOGY SERVICE Bharatpur Eye Hospital started telemedicine service with aim to provide door to door appropriate eye care treatment services to the patients. Through this facilities base hospital are connected to ECCs and ophthalmic Assistants at ECC can communicate with ophthalmologist at base hospital to confirm diagnosis so as to provide appropriate treatment to patients. We are strengthening the service, so that the community needy people can have easy access to the eye care service from Eye Care Center through base hospital. We have now started tele- ophthalmology service from all eye care centers.
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
LAB SERVICE Bharatpur Eye Hospital has a well-equipped investigations including culture and sensitivity and facilitated laboratory services for patient are performed in the lab. A total of 5492 undergoing ocular surgeries since 2012. patients underwent different lab investigations Almost majority of all required laboratory in 2019.2020.
LABORATORY INVESTIGATION CBC RBS HIV HCV 3770 5416 4042 4069 HBs Ag Urine RE Total Patient 4043 3671 5492
EYE CARE CENTER PERFORMANCE
OPD PATIENTS A total of 32,456 patient were treated through number of patients in all eye care centers in this eye care centers excluding city clinic at Bharatpur year compared to previous year due to COVID. height. It is around 20% of the overall patients Parsa Eye Care Centre had the highest number of served in 2019.20. There has been decrease in the patients among all ECCs. S. No. Eye Care Centers AM AF CM CF Total 3 Bharatpur Eye Hospital, Thori, Parsa 2859 2686 260 218 6,023 4 ECC Kawaswoti, Chitwan 1472 2047 352 454 4,325 5 ECC Ratnanagar, Chitwan 1287 1705 248 260 3,500 6 ECC Madi, Chitwan 1249 1549 276 309 3,383 7 ECC Parsa, Chitwan 2584 2627 657 624 6,492 8 ECC Chanauli, Chitwan 786 822 157 138 1,903 9 ECC Salyantar, Dhading 870 1083 180 189 2,322 10 ECC Sauraha, Chitwan 532 461 74 78 1,145 11 ECC Simrongard, Bara 1356 1438 302 267 3,363 Total 12,995 14,418 2,506 2,537 32,456 Cataract Cataract Other Other Glass Glass Name of OPD Cataract Referred Cataract Acceptance Referred Referred Glass Prescribe Glass Acceptance ECCs Referred % Acceptance % Cases Cases % Prescribe % Acceptance % Kawasoti 4325 77 1.78 20 0.46 170 3.93 1357 31.38 1139 26.34 Parsa 6492 128 1.97 36 0.55 253 3.90 1783 27.46 975 15.02 Madi 3383 78 2.31 12 0.35 52 1.54 805 23.80 605 17.88 Salyantaar 2322 35 1.51 1 0.04 58 2.50 886 38.16 598 25.75 Thori 6023 506 8.40 434 7.21 42 0.70 1344 22.31 603 10.01 Sauraha 1145 40 3.49 2 0.17 23 2.01 506 44.19 321 28.03 Chanauli 1903 34 1.79 4 0.21 14 0.74 501 26.33 291 15.29 Tadi 3500 73 2.09 3 0.09 36 1.03 1367 39.06 662 18.91 Simrongard 3363 268 7.97 40 1.19 17 0.51 1143 33.99 753 22.39 Total 32,456 1,239 552 665 9,692 5,947
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
PERFORMANCE OF BHARATPUR EYE HOSPITAL & ITS NETWORK
Kawasoti, Nawalpur CBH, Chitwan 4325 18,851
Bharatpur Eye ECC Madi, Chitwan Hospital, Thori- 6023 3,383 Total OPD 51,307 ECC Chaunali ECC Parsa 1,903 6,492
ECC Salyantar ECC Sauraha 2,322 1,145 ECC Simrongard 3,363
Total Glass Prescribed - 9,692 Total Referrals (Cataract & Others) - 1,904 44.55% (n=552) of Total Cataract Referrals Underwent Surgery. OUTREACH EYE CARE ACTIVITIES AND PERFORMANCE Outreach Activities Number Total Patient Served DST Camp 64 9,948 Surgical Camp 7 5,766 School Screening 27 10,943 Refraction Camp 1 150 Vision Test Camp 1 125 Total 26,932
S. No. Outreach AM AF CM CF Total 12 Outreach (DST) 4374 5013 265 296 9,948 13 Outreach (Surgical Camp) 2604 2833 164 165 5,766 14 Outreach (Monthly Clinic) 0 0 0 0 - 15 School Screening 0 0 5265 5678 10,943 16 Refraction Camp 95 55 0 0 150 17 Vision Test Camp 120 5 0 0 125 1,568 surgeries 757 cataract surgeries done through DST and 811 in surgical camps It is 41% of total cataract surgeries performed in 2019.20
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
OUTREACH PERFORMANCE (SURGERIES) 1,568 sight restoring cataract surgeries were year 2018.19. Of the total surgeries 811 (51.73%) performed through DST and Surgical Camps were done in surgical camps and only 757 being conducted in different places during the (48.27%) were done through DST camps. S. No. Surgeries from Outreach 2017.18 2018.19 2019.20 1 DST CAMP 753 619 757 2 SURGICAL CAMP 1009 2585 811 Total 1,762 3,204 1,568
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
SCHOOL SCREENING 10,943 school children of 27 schools both public and private were screened. 114 children were detected with refractive errors and provided glasses free of cost. Number of Schools Children Examined Glass Prescribed 27 10,943 114
T. 2020/021 1,03,760 26,932 32,456
26,932
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
DST, SCHOOL SCREENING & DR CAMP
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
OTHER TRAININGS & CLINICAL EXPOSURE Hospital has been providing training to students post graduate medical students (MBBS & MS like PCL in General Medicine, Nursing, Bachelor Ophthalmology) from different medical colleges in Nursing, and Bachelors of Science in Nursing, and health institutions for general eye care as Master in Nursing as well as undergraduate & part of their curriculum.
MD RESIDENT OPHTHALMOLOGY S. Date Program Name Designation Duration Training Subject Venue Sponsored No. From To 1 Dr. Sushila Pokharel MD Resident 16 June, 2019 16 July, 2019 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan 1.5 National Medical College, 2 Dr. Surendra Mishra MD Resident 5 Aug, 2019 19 Sept, 2019 Ophthalmology BEH, Chitwan Months Birgunj 3 Dr. Chandra B. Shrestha MD Resident 1 Jan, 2020 31 Jan, 2020 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan 4 Dr. Mekonen Abrahalei Haile MD Resident 1 Jan, 2020 31 Jan, 2020 1 Month Ophthalmology BEH, Chitwan Nepal Eye Hospital, Ktm 5 Dr. Ravi Maharjan MD Resident 1 Feb, 2020 29 Feb, 2020 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan 6 Dr. Santosh Sah MD Resident 2 Feb, 2020 2 March, 2020 1 Month Ophthalmology BEH, Chitwan TIO, Kathmandu 7 Dr. Vinayak Regmi MD Resident 1 March, 2020 31 March, 2020 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan 8 Dr. Zahir Ansari MD Resident 1 April, 2020 30 April, 2020 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan 9 Dr. Bibek Upadhyay MD Resident 1 May, 2020 31 May, 2020 1 Month Ophthalmology BEH, Chitwan BPKIHS, Dharan Tilganga Institute 10 Dr. Sabina Parajuli MD Resident 1 Jan, 2020 31 Jan, 2020 1 Month Ophthalmology BEH, Chitwan of Ophthalmology, Kathmandu Nepal Eye Hospital, 11 Dr. Suchan Poon MD Resident 1 Feb, 2020 28 Feb, 2020 1 Month Ophthalmology BEH, Chitwan Tripureshwor, Kathmandu CLINICAL EXPOSURE FROM DIFFERENT INSTITUTES S.N College Name Type No. of Student 1 Asha Hospital, Chitwan PCL Nursing 2nd year 40 2 Bharatpur Hospital, Chitwan PCL Nursing 2nd year 40 3 Bharatpur Hospital, Chitwan PCL Nursing 3rd year 40 4 IOMT College, Chitwan PCL Nursing 40 5 Chitwan Medical College, Chitwan B.Sc. Nursing 40 6 Maiya Devi Kanya College, Chitwan PCL Nursing 2nd year 40 7 Oasis Medical College, Chitwan PCL Nursing 2nd year 38 8 College Of Medical Science, Chitwan PCL Nursing 2nd year 40 9 Maulakalika Health Science, Chitwan PCL Nursing 2nd year 40 10 Narayani Samudayik Hospital, Chitwan PCL Nursing 2nd year 40 11 Chitwan Academy For Technical Education, Chitwan PCL Nursing 2nd year 40 12 Shree Medical College and Technical College, Chitwan B.Sc. Nursing 20 13 Shree Medical College and Technical College, Chitwan PCL Nursing 40 14 Kalika Medical and Technical Institute, Chitwan PCL General Medicine 39 15 Holy Vision Technical Campus, KTM PCL General Medicine 40 16 Bharatpur Hospital, Chitwan PCL General Medicine 10
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw
INSTITUTIONAL ACTIVITIES (LONG AND SHORT TERM TRAINING) S. No. Activities Numbers Third Batch (Since August, 2017) 1 MD Ophthalmology (Residents) 2 Each Year Second Batch (Since August, 2018) 2 Bachelor in Optometry & Visual Sciences (8 Each Batch) 3 PCL in Ophthalmic Sciences Seventh Batch Running (40 Each Batch) 4 Vitreo-Retina Fellowship 4 + 1 (Ongoing) 5 SICS 2+2 (Ongoing) 6 Optical Dispenser Sixth Batch 7 MD Residents Rotation BPKIHS, TIO & NEH 8 Refraction Training Different Eye Hospitals & From Myanmar Others Training (OT Sterilization, OT Assisting, Different Hospitals, Eye Centers & 9 Optometrist, Internship, Optical Dispenser, Phaco Institutes Assisting Training
MD Residents
PCL in Ophthalmic Sciences
Bachelor of Optometry and Vision Science
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
TRAINING / FELLOWSHIP S. Date Training Program Name Designation Duration Venue Sponsored University/College No. From To Subject MSPH-PhD VIEW-II, Bharatpur US-Proctor Hiralal Santudevi Pradhan 1 Dr. Riju Shrestha 3 June, 2019 31 July, 2019 2 Months Intern Scholar Eye Hospital Foundation Institute of Ophthalmic Sciences Ms. Ruchee Intern 20 Aug, Bharatpur Eye 2 19 Aug, 2020 1 Year Intern Self Sharda University, Delhi, India Sharma Optometry 2019 Hospital Ms. Isha Intern 17 Sept, Bharatpur Eye 3 16 Sept, 2020 1 Year Intern Self Sharda University, Delhi, India Manandhar Optometry 2019 Hospital Dr. Pratistha SICS Bharatpur Eye Hiralal Santudevi Pradhan 4 SICS Fellow 15 Jan, 2020 14 July, 2020 6 Months SEVA Shrestha Fellow Hospital Institute of Ophthalmic Sciences Dr. Santosh Kumar SICS Bharatpur Eye Hiralal Santudevi Pradhan 5 SICS Fellow 16 Jan, 2020 15 July, 2020 6 Months SEVA Sah Fellow Hospital Institute of Ophthalmic Sciences Fellow SN Name of Fellow Fellowship On 1 Dr. Simanta Khadka Ophthalmologist (Vitreo Retina) 2 Dr. Pratistha Manandhar Ophthalmologist (SICS) 3 Dr. Santosh K. Sah Ophthalmologist (SICS)
MD Resident SN MD Resident Year 1 Dr. Sudha Ranabhat MD Ophthalmology (Third Year) 2 Dr. Suchan Poon MD Ophthalmology (Second Year) 3 Dr. Sabina Parajuli MD Ophthalmology (Second Year) 4 Dr. Asma K.C. MD Ophthalmology (First Year) 5 Dr. Binisha Shrestha MD Ophthalmology (First Year)
6 Dr. Manoj K. Sah MD Ophthalmology (First Year) Dr. Simanta Khadka, Vitro Retina Fellow
MD Resident
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw College University/ SEVA NAMS Sponsored SightLife SightLife TIO SEVA SEVA Meditech Systems Chitwan Kathmandu Bharatpur Garden Resort, Bharatpur, Bharatpur, Resort, NAMS, Bir Hospital, Bir Hospital, NAMS, Bharatpur Eye Bharatpur Eye Hospital Prasad LV Institute, Eye India Hydrabaad, Tilganga Institute of Ophthalmology, Kathmandu Lumbini Eye Bhairahwa Institute, Chitwan Hotel Chitwan Paradise, Thailand Bankok, Training Training Research Research Methodology Training on Training Management of Blindness Corneal Program Prevention Pediatric Keratoplasty Training Research Methodology Training Operational Training Research Vitrectomy Training Workshop on: Workshop Control Quality Series; Infection & Small Control Quality for Tools Management Work) Group 4 Days 6 Days 4 Days 4 Days Training Excel Eye 4 Days 5 Days 3 Days 3 Days Days in Zoom & Zoom 6 Days (3 Duration Subject Training Venue To 2077 14-19 Ashad, Ashad, 19-23 Sharwan, 2076 27-30 Kartik, 2076 18-21 Mangsir, 2076 20- 12 20- Kartik, 2076 18-21 Kartik, 2076 21-25 Poush, 2076 9-11 Magh, 9-11 Magh, 2076 Date 2020 2020 From 28 June - 3 July, 3 July, - 23-25 Jan, 23-25 Jan, 4-8 Aug, 4-8 Aug, 2019 13-16 2019 Nov, 4-7 Dec, 2019 6-12 Nov, 6-12 Nov, 2019 4-7 Nov, 2019 6-10 Jan, 2020 TRAINING AT BEH AT TRAINING Designation Supervisors Hospital Administrator, Ophthalmic Officer & Optometrist Doctors, Optometrist Hospital Doctors, Administrator, Ophthalmic Officer, Incharge, OT OA, OT Ihcnarge, Ward Anesthetic Runner, OT Assistant, Workers Eye Nurse, Ophthalmologist (Cornea) Pediatric Ophthalmologist Bio-Medical Technician MD Residents (First MD Residents Year) Program Name Program Solukhumbu & Dhading Supervisors (TIO) District Solu & Dhading) Center, Eye Mr. Daya Shankar Chaudhary Mr. Ramesh Ghimire Daya Shankar Chaudhary Mr. Mr. Ram Janaki Pandey & Mr. Mr. Ramesh, Mr. Gopal, Mr. Daya, Mr. RNB, Dr. Prof. Binod Dr. Manisha Shrestha, Dr. Daya, Mr. RNB, Dr. Prof. Ms. Ramesh Ghimire, Mr. Raja Husain Mansuri, Subas Mr. Ranjana Pokharel, Ms. Sapana Pradhan. Ramesh Kharel, Mr. Lalu Thapa Magar, Ms. Sapkota, Dhana Kumari Ms. Ram Chandar Mahato, Mr. Darai Pradip Mr. Rama Gautam, Ms. Thapa Magar, Dr. Ashma K. C., Dr. Binisha Shrestha & Dr. Manoj Binisha Shrestha & Dr. Dr. C., Ashma K. Dr. Kumar Sah 1 2 Giri Puspa Dr. 3 Manisha Shrestha Dr. 4 5 6 Srijan Prajuli Mr. 7 8 S. No.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
RESEARCH
VIEW (VILLAGE INTEGRATED EYE WORKERS TRIAL) A program conducted under joint collaboration where trained Female Community Health of Bharatpur Eye Hospital, NNJS, SEVA Nepal, Volunteer go door to door and examine vision F.I.Proctor Foundation, UCSF and SightLife, status of above 50 years people with the help of USA. Initially in the year Feb,2014 F.I.Proctor tumbling “E”chart and refer them on the basis of Foundation started a community randomized trial visual acuity criteria to nearby eye care centers. for detecting and treating corneal abrasion from This pilot study also conducted screening camp trained Female Community Health Volunteer. in different communities of east Chitwan. This trial was completed in the year 2017. Screening includes fundus photography, Auto- In August 2017, SightLife took over the VIEW-I refraction, IOP measurement of 50+ years activities currently known as blindness people and setting referral mechanism to those prevention program, a community randomized suspected with glaucoma, DR and AMD and trial conduct by F.I. Proctor Foundation, USA linking them to hospital care or eye care centers. from 2014-2017. Where 117 trained Female After the successful pilot study another study Community Health Volunteers (FCHVs) from (VIEW-II) has been officially started from nine and three VDCs of Nawalparasi and Chitwan February 2019.This is also a cluster randomized districts respectively involved in detecting and trial aims to identify whether an intensive treating corneal abrasions in their respective screening with OCT (Optical Coherence communities. SightLife founded in 1969 is the Tomography) and linkageto hospital care can only non-profit global health organization solely reduce the number of blindness due to glaucoma, focused on eliminating corneal blindness around DR and AMD compared to no intervention the world through prevention programs, eye area. This study includes intensive community banking and corneal transplants. screening of 60+ years people with OCT (Optical VIEW-II-Pilot Study is the second phase of Coherence Tomography) and measurement of VIEW study lunched in June 2018 by Francis IOP and referring suspected clients to Bharatpur I. Proctor Foundation, UCSF in collaboration Eye Hospital for further care. These people will with Seva Foundation and Bharatpur Eye be followed for next 5 years. Baseline census is Hospital. This is a cluster randomized trial being conducted at the starting of the study and aims to determine whether a community final census will be conducted after next 4 years based screening program is more effective to compare the vision status of that community. than cataract camp approach, in detecting Study Team includes 1 Study Co-ordintor, 1 more cases of glaucoma, DR and AMD and Assistant Study Co-ordinator, 1 Referral Manager also to determine whether a community (Ophthalmic Assistant), 10 Screening Members health volunteer program increases the rate (Ophthalmic Assistant), 6 Field Supervisors,25 of cataract surgery compared to a no program Census Workers and 2 Drivers.
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Since August 2017, SightLife is taking over the a community –based screening program is VIEW I activities where we have 117 trained more effective than cataract camp approach, in Female Community Health Volunteers (FCHVs) detecting more cases of glaucoma, DR and AMD from nine and three VDCs of Nawalparasi and also to determine whether a community and Chitwan districts respectively involved health volunteer program increases the rate in detecting and treating corneal abrasions in of cataract surgery compared to a no program. their communities. SightLife founded in 1969 is This pilot study is still undergoing. the only non-profit global health organization VIEW II the real study was launched in April 2019. solely focused on eliminating corneal blindness This is cluster randomized trial, randomization around the world through prevention programs, units include toles/wards of municipality/rural eye banking and corneal transplants. municipality in Chitwan and Nawalpur districts. VIEW-II-Pilot Study is the second phase of The main objective of the study is to determine VIEW study lunched in June 2018 by Francis whether a community –based intervention I. Proctor Foundation UCSF in collaboration screening program for ocular disease involving with Seva Foundation and Bharatpur Eye OCT, intraocular pressure testing and enhanced Hospital. This study aims to determine whether linkage to care improves ocular outcomes.
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Corneal Ulcer Prevention Program (VIEW: Study Aims) To determine whether diagnosis and prophylaxis of corneal abrasion by Female Community Health Volunteers (FCHVs) will reduce the incidence of corneal ulceration in rural Nepal.
To assess the cost effectiveness of the corneal ulcer prevention program.
To estimate the true incidence of corneal ulceration
Methods
Baseline Census in 24 At Baseline Census and Final Census - the VDCs Census Worker Photograph the Cornea of all Resident of the Study Area
No 24 VDCs in Chitwan and Intervention- Intervention -12 Nawalparasi Randomized 12 VDCs VDCs
FCHVs trained to identify corneal abrasion and treat with antibiotics (Chloramphenicol Ointment)
Primary outcome – Incident corneal opacity at month 36, assessed from corneal photos during an annual census
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Result
FCHV have treated more than 3000 cases of corneal abrasion. 96% of the cases detected and treated by FCHVs have been healed. The final study finding is yet to be released. Work is being continued as corneal ulcer prevention program.
VIEW - II Pilot (VIEW: Study Aims)
To determine whether a Community- Based Screening Program is more effective than Cataract Camp Approach (DST).
To determine whether a Community Health Volunteer Program (FCHV) increases the rate of Cataract Surgery Compared to No Program.
VIEW - II Pilot Study Methods DST camp based on DST Camp - 18 wards Hospital Protocol Visual Acuity testing and Hand held in Chitwan Districts slit lamp and direct ophthalmoscopy
DST camp based on Community-Based Hospital Protocol Screen people 50 yrs & above Screeing- 18 wards in for Glaucoma, Cataract, Diabetic Chitwan Districts retinopathy. ARMD and refractive error
DST camp based on FCHV - 9 wards in Hospital Protocol Screen people 50 yrs & above with Chitwan Districts vision less than 6/60
Late DST/no intervention Eye care -9 wards in Chitwan Centre or Eye Districts Hospital Referral
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RESEARCH PAPER
Published • Confrontation with a live subretinal parasite. Nepalese Journal of Ophthalmology, 11(2), 227-231. Simanta Khadka, Raghunandan Byanju, Sangita Pradhan • Cataract following electric shock-Case report. Journal of Kathmandu Medical College, 167-170. Simanta Khadka, Raghunandan Byanju, Sudha Ranabhat • Knowledge and Preference for Refractive Surgery and Preferred Methods of Refractive Correction among Patients with Significant Refractive Errors Attending Bharatpur Eye Hospital, Nepal; Puspa Giri, Gopal Bhandari, Ranjeet Sah • Chemotherapy-Induced Central Retinal Artery Occlusion in Gestational Trophoblastic Neoplasia: Case Report. International Medical Case Reports Journal, 13, 431. Simanta Khadka, Raghunandan Byanju, Suchan Poon. • Evolution of Lightning Maculopathy: Presentation of Two Clinical Cases and Brief Review of the Literature. Case Reports in Ophthalmological Medicine, 2021. Simanta Khadka, Raghunandan Byanju, Sangita Pradhan, Suchan Poon, Rinkal Suwal. • Outcomes of the Perplexed Surgical Management of Retinal Detachment in Eyes with Coloboma. Korean Journal of Ophthalmology, 35(1), 80-88. Simanta Khadka, Raghunandan Byanju, Sangita Pradhan • Central macular thickness in uneventful phacoemulsification using optical coherence tomography; Dr. Sudha Ranahbat Ongoing • The clinical characteristics of patients with glaucoma presenting to Bharatpur Eye Hospital: an observational study; Main author – Dr Ranjeet Kumar Sah. Coauthors – Prof Dr RNB, Dr Manisha Shrestha, Mr Gopal Bhandari, any responsive person from MRD. • Effects of Laser Peripheral Iridotomy on Corneal Endothelial Cell Density and Cell Morphology in Primary Angle Closure Suspect Subjects; Main author – Dr Ranjeet Kumar Sah. Coauthors – Prof Dr RNB, Dr Puspa Giri, Any Resident who is interested, Mr Ramjanaki Panday, Ms Rakshy • Central anterior chamber depth changes after prophylactic laser iridotomy; Main author – Dr Ranjeet Kumar Sah. Coauthors – Prof Dr RNB, Any Resident who is interested, Ms Anju Shrestha, Mr Gopal Bhandari • Comparison of Normal and High Tension Glaucoma: Nerve Fiber Layer and Optic Nerve Head Damage; Main author – Dr Ranjeet Kumar Sah. Coauthors – Prof Dr RNB, Ass Prof Dr Sangita Pradhan, Any resident who is interest, Mr Ramjanaki Panday, Ms Rakshya • Partial thickness Sclerectomy for uveal effusion syndrome in nanophthalmic eyes: A case series; Khadka S, Byanju RN, Pradhan S, Shah R, Chaudhary S • Indication and Visual outcome of Penetrating Keratoplasty in Bharatpur Eye Hospital. Dr. Puspa Giri, Gopal Bhandari, Dr. Ranjeet Kumar Sah. • Effect of Counseling and reminders in improving the follow-up rate of pediatric patients (9-10 years) at Bharatpur Eye Hospital, Nepal. Dr. Manisha Shrestha, Mr. Gopal Bhandari, Mr. Binod Pandey, Mr. Ramesh Ghimire, Ms, Sajani Kayastha, Mr. Dama Ale. • Central Corneal Thickness in Uneventful Phacoemulsification Surgery. Dr. Sabina Parajuli (3rd Year MD Resident, Ophthalmology, NAMS-HSPIOS, Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal) • Ocular Effect of Yag Laser Capsulotomy In Pseudophakic Eyes to be conducted at Bharatpur Eye Hospital; Dr. Suchan Poon (3rd Year MD Resident, Ophthalmology, NAMS-HSPIOS, Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal) • Age Related Changes in Macular Volume and thickness using Optical Coherence Tomography (OCT), Dr Ashma K. C. (2nd Year MD Resident, Ophthalmology, NAMS-HSPIOS, Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal) • Effect of Age on the Corneal Endothelial Count in the Normal Eye. Dr. Manoj Kumar Sah (2nd Year MD Resident, Ophthalmology, NAMS-HSPIOS, Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal) • Prevalance of Dry Eyes among pterygium patients Dr. Binisha Shrestha (2nd Year MD Resident, Ophthalmology, NAMS-HSPIOS, Bharatpur Eye Hospital, Bharatpur, Chitwan, Nepal)
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
HOSPITAL CONTRIBUTION (2019.20)
Bharatpur Eye Hospital encourages patients to policy, BEH does not deny eye care to any person pay for services as much as possible. However, based on any demographic, regional, social or keeping in mind the socio-economic realities, economic denomination. NRs 46,47,400 has been BEH dose offer subsidized or completely free contributed by the hospital in the year 2019.20 services to poor and deserving populations. As a in different heading subsidy.
2016/17 2017/18 2018/19 2019/20 1,04,68,150 55,21,614 2,51,47,859 46,47,400
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STAFFS AT BEH
SN Name of Employee Designation SN Name of Employee Designation 1 Prof. Dr. Raghunandan Byanju Chief Medical Director 53 Bina Bhattarai Office Assistant 2 Dr. Maria Alexsandrovna Gautam Ophthalmologist 54 Salu Shrestha Office Assistant 3 Assoc. Dr. Sangita Sharma (Bhandari) Ophthalmologist 55 Durga Poudel Office Assistant 4 Dr. Ranjeet Sah Ophthalmologist 56 Sandesh Lamichhane Office Assistant 5 Dr. Puspa Giri Ophthalmologist 57 Anju Mahato Office Assistant 6 Dr. Manisha Shrestha Ophthalmologist 58 Rishiram Pokharel Office Assistant 7 Dr. Raja Husain Mansuri Ophthalmologist 59 Anjila Bhandari (Ghimire) Drug Retailer 8 Dr. Simanta Khadka Ophthalmologist 60 Sunita Gautam Assistant Pharmacist 9 Daya Shankar Chaudhari Hospital Administrator 61 Divya Bhandari Eye Worker 10 Ramesh Ghimire Ophthalmic Officer 62 Lalu Maya Magar Eye Worker 11 Gopal Bhandari Optometrist 63 Kashiram Bastola Eye Worker 12 Anju Shrestha Optometrist 64 Keshari Paudel Eye Worker 13 Ramjanaki Pandey Optometrist 65 Ram Chandra Mahato Eye Worker 14 Jeevan Subedi IT Officer 66 Binda Kumari Sintan Eye Worker 15 Raksha Sapkota Optomety Fellow 67 Aagya Shrestha Eye Worker 16 Chhaya Shrestha Assistant Manager 68 Rama Gautam Eye Worker 17 Binod Pandey Ophthalmic Officer, Orthoptist 69 Dhana Kumari Thapa Magar Eye Worker 18 Sapana Pradhan Sr. A.N. M 70 Rishi Chapagain Eye Bank Counselor 19 Gagan Prakash Baram Accountant 71 Srijan Parajuli Electrician 20 Triptee Bhattarai Asst. Accountant 72 Suman Darai Electrician 21 Bhagiram Chaudhary Ophthalmic Assistant 73 Tulsa Ghimire Reg Clerk 22 Gokul Dahal Ophthalmic Assistant 74 Uttam Kumar Joshi Reg Clerk 23 Pradeep Subedi Ophthalmic Assistant 75 Bishnu Pandey Optical Helper 24 Sajani Kayastha Ophthalmic Assistant 76 Juna Darai Optical Helper 25 Daman Ale Ophthalmic Assistant 77 Umesh Kandel Optical Helper 26 Suman Shrestha Ophthalmic Assistant 78 Muna Dhakal Opical Helper 27 Manmohan Adhikari Ophthalmic Assistant 79 Sarita Gurung Optical Helper 28 Santosh Kumar Lodh Ophthalmic Assistant 80 Satrasan Darai Opical Helper 29 Dilip Kumar Yadav Ophthalmic Assistant 81 Ram Krishna Karki Opical Helper 30 Subas Sapkota Ophthalmic Assistant 82 Susma Kumari Mahato Opical Helper 31 Pappu Mahato Ophthalmic Assistant 83 Rakshya Pathak Opical Helper 32 Kripa Shrestha Ophthalmic Assistant 84 Pratima Bhandari Opical Helper 33 Dilip Prakash Tandukar Ophthalmic Assistant 85 Ram Bahadur Darai Opical Helper 34 Alish Tamang Ophthalmic Assistant 86 Aashis Kumar Bohora Opical Helper 35 Ranjana Pokhrel Ophthalmic Assistant 87 Lokendra B.k Opical Helper 36 Rita Shrestha Ophthalmic Assistant 88 Raju Yadav Optical Helper 37 Binita Sapkota Ophthalmic Assistant 89 Anish Bastola Optical Dispenser 38 Kundan Poudel Ophthalmic Assistant 90 Rupa Koirala K.C. Opical Helper 39 Shivram Chaudhary Ophthalmic Assistant 91 Mandira Darai Opical Helper 40 Dipesh Subedi Ophthalmic Assistant 92 Sobita Kandel Opical Helper 41 Rakshya Karki Ophthalmic Assistant 93 Raj Kumar Kunwar Kshetri Driver 42 Prabina Dura Lab Technician 94 Resham Chaudhary Driver 43 Gyanu Gurung Lab Assistant 95 Narayan Ghimire Driver 44 Ramesh Kharel Asst. Outreach Co-ordinator 96 Umesh Parajuli Driver 45 Arjun Ghimire Store Keeper 97 Tilakman Wada Gardner 46 Pratigya Shrestha Cashier 98 Prithivi B. Magar Gardener 47 Shanti Sharma Record Keeper 99 Uma Devi Poudel OPD Helper 48 Juna Devi Gauli Record Keeper 100 Pradip Darai Office Helper 49 Gopal Sapkota Record Keeper 101 Krishna Bahadur Kumal Cleaner 50 Sunita Paudel Office Assistant 102 Sabita Pyakurel Cleaner 51 Anju Pandey ( Bista) Office Secretary 103 Dhanlal Shrestha Guard 52 Kamala Thapa Chhetri Office Assistant 104 Juluram Darai Guard
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VILLAGE INTEGRATED EYE WORKER TRIAL (VIEW) STAFF
S.No. Name Designation S.No. Name Designation 1 Mr.Gopal Bhandari Study Coordinator 31 Mr.Bijay Prakash Bhattarai Census Worker 2 Mr.Sadhan Bhandari Asst.Study Coordinator 32 Ms.Sommaya Baram Census Worker 3 Mr.Rabin Bhattarai Field Supervisor 33 Mr.Binod Chaudhary Census Worker 4 Ms.Dhanmaya Gurau Field Supervisor 34 Mr.Nanda Lal Tharu Census Worker 5 Mr.Shree Krishna Gautam Field Supervisor 35 Ms.Parwati Timilsina Census Worker 6 Mr.Ajay Chaudhary Field Supervisor 36 Ms.Jyoti Chaudhary Census Worker 7 Mr.Dipak Bhattarai Field Supervisor 37 Mr.Poshan Kumar Adhikari Census Worker 8 Mr.Deepak Kandel Field Supervisor 38 Mr.Sanjeeb Neupane Census Worker 9 Ms.Saraswati Silwal Ophthalmic Assistant 39 Mr.Tej Narayan Lamsal Census Worker 10 Ms.Amisha Subedi Ophthalmic Assistant 40 Ms.Sunita Poudel Census Worker 11 Ms.Nilam Kumari Yadav Ophthalmic Assistant 41 Mr.Rajiv Gurau Census Worker 12 Ms.Akriti Ghimire Ophthalmic Assistant 42 Mr.Dinesh Sapkota Census Worker 13 Mr.Bishwash Ghimire Ophthalmic Assistant 43 Ms.Manju Kumari Dahal Census Worker 14 Mr.Nischal Sharma Ophthalmic Assistant 44 Mr.Adesh Subedi Census Worker 15 Ms.Bisakha Ranabhat Ophthalmic Assistant 45 Ms.Shova Neupane Census Worker 16 Ms.Radhika Devi Poudel Ophthalmic Assistant 46 Mr.Rishi Ram Chapagain Census Worker 17 Ms.Prakriti Acharaya Ophthalmic Assistant 47 Ms.Sunita Sharma Census Worker 18 Mr.Subit Sapkota Ophthalmic Assistant 48 Ms.Sarmila Dhakal Census Worker 19 Mr.Gaurav Rimal Ophthalmic Assistant 49 Mr.Bishwash Sapkota Census Worker 20 Mr.Gaurav Giri Ophthalmic Assistant 50 Mr.Durga Tiwari Census Worker 21 Ms.Susmita Poudel Ophthalmic Assistant 51 Ms.Gyanu Devi Kunwar Census Worker 22 Ms.Pratikshya Neupane Ophthalmic Assistant 52 Ms.Sirjana Basnet Census Worker 23 Mr.Shree Kanta Adhikari Driver 53 Ms.Anjana Tamang Census Worker 24 Mr.Ramesh Gurung Driver 54 Mr.Sujan Shrestha Census Worker 25 Mr.Narayan Ghimire Driver 55 Mr.Sujan Ghimire Census Worker 26 Ms.Susmita Tamang Census Worker 56 Mr.Rishi Ram Ale Census Worker 27 Mr.Resham Pokhrel Census Worker 57 Miss.Renuka Thapa Census Worker 28 Ms.Sharmila Raut Adhikari Census Worker 58 Mr.Tara Prasad Chapagain Census Worker 29 Ms.Kabita Regmi Census Worker 59 Mr.Kisor Chaudhary Census Worker 30 Ms.Shirjana Bohora Census Worker
Staff Recruited S.N. Staff Name Remark S.N. Staff Name Remark 1 Binita Sapkota Ophthalmic Assistant 12 Umesh Parajuli Optical Dispenser 2 Kundan Paudel Ophthalmic Assistant Resigned / Retired 3 Dipesh Subedi Ophthalmic Assistant 4 Rita Shrestha Ophthalmic Assistant SN Name of Employee Designation 5 Triptee Bhattarai Asst. Accountant 1 Dr. Dishya Bista Ophthalmologist 6 Rishi Chapagain Eye Bank Counselor 2 Rambabu Kandel Ophthalmic Assistant 3 Dharmaraj Yadav Ophthalmic Assistant 7 Rishi Ram Pokhrel Office Assistant 4 Anjila Ghimire Asst. Pharmacist 8 Anju Mahato Office Assistant 5 Omkar Sapkota Assistant Pharmacist 9 Sabita Kandel Optical Dispenser 6 Sarita Gurung Office Assistant 10 Rupa Koirala Optical Dispenser 7 Kashi Ram Bastola Eye Worker 11 Mandira Darai Optical Dispenser 8 Khinu Gurung Cleaner
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Respectable Person Who Visit Our Hospital in 2019.20 Date Name Place 22-Jan-20 Mr. Ramesh Kumar Pokharel Executive Director, Social Health Insurance Mr. Krishna Prasad Acharya Secratory, Social Health Insurance Mr. Netra Neupane Public Health Officer Ms. Srijana Paudel Province Co-ordinator 26-Jan-20 Dr. Samina Zanindar Expert, Zamindar Surgical Center, Banglore, India 7-Aug-20 Dr. Chet Raj Pant Nepal Netra Jyoti Sangh Centra Office Ktm. 14-July-20 Mr. Krishna Bhakta Pokharel Chairperson of the Law, Justice and Human Rights Committee 23-Nov-20 Dr. Gopal Khanal Ex. Registar, Nepal Medical Council, Kathmandu 17-Dec-20 Dr. Subodh Adhikari Rectar, National Academy of Medical Sciences (NAMS) (Bir Hospital) 17-Dec-20 Dr. Peeyush Dahal Dean, National Academy of Medical Sciences (NAMS) (Bir Hospital) FUTURE PLAN • To set-up Nepal Institute of Community • Electronic Medical Record System (Paper Less Ophthalmology (NICO) Hospital) • Establish eye bank & explore fund sources from • Improve the quality of service through in-house external development partner for sustainability training & international exposure for hospital of eye health institute (Soon starts with Eye Bank) staff for skill development. • To Introduce Corneal Refractive Surgery • Establish research, monitoring & publication unit • Strengthen of Tele-ophthalmology & Out-reach • FINALLY TO EVOLVE AS ULTIMATE activities DESTINATION FOR EYE CARE. EXTRA ACTIVITIES CARRIED • Advance Refraction training to eye care professionals. • Refresher training to field workers. • Journalist training on eye care awareness. • Awareness rally in NNJS day celebration. • World sight day celebration • World diabetic day celebration. • Eye check up program to government officers of Chitwan district. • Plantation program together with the Lions club in the hospital premises. • Eye Banking Orientation/ awareness program for priest of Bharatpur.
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SUMMARY
Despite the challenge faced due to the corona various retinal surgeries. The patient seeking virus pandemic, Bharatpur eye hospital, its eye glaucoma care have been increasing very care centers and the outreach programs provided rapidly since the establishment of glaucoma as service to a total of 1,63,148 patients which is separate department, 1014 glaucoma patient just 24.5% less than the previous year. There were treated in this year. are more females (53.2%) than males (46.8%) Total of 51,307 patients received basic primary seeking for eye care. Sixty four percentage of eye care service through our eye care centers the patients got service from the base hospital distributed in different geographies. 1,904 alone. This year a total of 5, 143 ocular surgeries patients were referred from the centers and were performed of which 3829 (74.5%) the sight majority were referred for cataract surgeries. are restoring cataract surgeries. Outreach programs is one of the major Bharatpur Eye Hospital has been providing all component of hospital where we reach the level of patient care through specialty services unreached people and provide services through by strictly following the safety precautions for wide range of community based activities. This the corona virus. Conjunctivitis was the major year a total of 26,932 patients were seen through problem among children followed by refractive various outreach activities that includes DST errors and sight was restored in 64 children camp, surgical camps, monthly clinics at health through cataract surgeries. We were able to posts, DR camps and refraction camps. 1,568 perform corneal transplant in 16 patients. In of sight restoring cataract surgeries were done 2019.20 retina departments provided service to through a camp which is 41% of total cataract a total 3,856 patients of which 108 underwent surgeries done in 2019.20.
ACKNOWLEDGEMENT We would like to acknowledge and appreciate the following organizations for their great support.
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ANNEXURE Annex I: Map of Service Areas
Gorkha - 75 lamjung - 100
Tanahu - 214
Dhading - 175
Nawalparasi - 294 Chitwan - 255
Annex II: Population Profile of Working Districts District Population Male Female District Population Male Female Chitwan 579,984 279,087 300,897 Nawalparasi 643,508 303,675 339,833 Dhading 336,067 157,834 178,233 Makawanpur 420,477 206,684 213,793 Gorkha 271,061 121,041 150,020 Parsa 601,017 312,358 288,659 Lamjung 167,724 75,913 91,811 Total 3,343,126 1,600,002 1,743,124 Tanahun 323,288 143,410 179,878 Source: National Population and Housing Census 2011 (Village Development Committee/Municipality) Volume 02, NPHC 2011
Annex III: Statistical Trends of Hospital since Its Establishment There has been a great achievement in the service patients visited the hospital along with Eye Care delivery since the establishment of Bharatpur Eye Center now coming to 2019/20 it has provided Hospital. In the starting year (1986/87) only 7000 service to 1,03,760 patients with 5,233 surgeries. Number of Out Number of Number of Out Number of Year Year Patient In patient Patient In patient 1986/87 7000 150 2004/05 41020 2296 1987/89 16000 380 2005/06 41310 2124 1989/90 16500 420 2006/07 42326 2507 1990/01 22000 580 2007/08 51677 2445 1991/92 21000 440 2008/09 51753 3883 1992/93 21020 501 2009/10 60100 4703 1993/94 19000 405 2010/11 69363 5210 1994/95 21300 590 2011/12 80700 6167 1995/96 23321 1080 2012/13 1,24,033 5493 1996/97 29000 1280 2013/14 1,26,500 7065 1997/98 28502 1100 2014/15 1,33,522 5679 1998/99 29596 1080 2015/16 134979 7301 1999/2000 30119 600 2016/17 1,35,595 6,490 2000/01 29214 640 2017/18 1,52,040 5,776 2001/02 34662 853 2018/19 1,79,628 7,413 2002/03 19295 504 2019/20 1,03,760 5,143 2003/04 40031 2003
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Annex IV SUCCESSFUL HUMAN STORY
Before Surgery After Surgery At the time of Discharge
Shree Devi Khushawa, 65 years old female One day a women form her neighboring house permanent residence of Simraungadh-7 in Bara who knew about the free surgical eye camp district of Nepal attended the free surgical eye being conducted by Nepal Netra Jyoti Bharatpur camp organized by Bharatpur Eye Hospital on 27 Eye Hospital Supported by DAK Foundation in January 2021. Simraungadh Eye Care Centre, suggested her She was a farmer with very poor economic to go in that camp for her eye surgery. Her one status. She lived in a village with her grandsons of the grandson brought her to the camp site on and daughter in law. Her life turned to be more the day of 27th January 2021. On examination it miserable and difficult since her only son who was was found that she could only perceive light in the bread winner of the whole family died in an both eyes and diagnosed with matured cataract accident year’s back. in both eyes. She had noticed decrease in her eyesight since Her right eye was successfully operated and the many years which gradually deteriorated, she had next day when patch was opened, a glow of smile no one to take care of her and take her for eye emerged from the poor old face as she could she treatments so she was forced to struggle with very again. She could not express her happiness in poor vision since many years. She shares her story words. Her vision in right eye was 6/9. She was that her daughter in law took her to the nearby eye happy that now she can go to work again to feed hospital for the eye checkup when her vision was the little grandsons and manage the family. The so much deteriorated that she was almost blind but free surgical eye camp gave a new life to her and she had to return back home without being treated she was thankful for the bottom of the heart for because she could not afford to pay for the surgery. all those who were involved for her treatment.
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Annex V Human Story at Simrongard Surgical Eye Camp
Name: Bechan Mukhiya Age and gender: 65/Male Address: Simrongard municipality ward number 1 Visual acuity: Perception of light and projection of light both eyes. Distance: about one hour walking distance from home to the Primary eye care center where eye camp is conducted. Education: illiterate, wife also illiterate Family occupation: Agriculture, enough to manage family from the product of own land. Family: wife, one son and 3 daughters, all the children are married and all are in their own family. Bechan and his wife are staying with his his son has brought him to the eye camp for son. surgery. Duration of blindness: completely blind since Person who is taking care at home: His wife is 2 years, demising of vision since 3-4 years taking care, as Bechan, he is getting best care gradually. from his wife. His wife is supporting day to day Reasons for not coming hospital earlier: up to or routines such as: Bathroom, changing dress, two years back he was managing work somehow, food, toilets etc. and not feels important to go. When the vision Right eye performed surgery, after surgery he has is gone down completely, then started thinking got 6/12 vision the next day of surgery. The eye where to go, how much is the cost of treatment camp team asked what is exciting to see, Buchan and looking for the person who can help to go to is excited to see his 4 years granddaughter. He the hospital, by that time COVID19 started and shared that grand daughter is the one who is staying at home. talking, playing and helping to go to the out How he is reach the eye camp: Municipality from the room and taking back to the room. Simrongard has done publicity house to house He also shared that, he had no hope to see her through school students/Female community face again, thanks to the eye camp team for Health volunteers and received the information sight restoring and now excited to see the grand from female community health volunteers. Then daughter.
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw Hospital Bharatpur Eye Bharatpur Eye Invitee Organizer Hospital Bharatpur Eye Bharatpur Eye ollege, ollege, y Eye y Eye e Hospital, e Hospital, Bharatpur ollege, Chitwan ollege, e Hospital, Butwal e Hospital, e Hospital, Pokhara e Hospital, e Institute & Research e Institute & Research e Hospital, Dang e Hospital,
e Hospital, Rautahat e Hospital, e Hospital, Kailali e Hospital, Participants Name Participants edia Eye Hospital, Bara Hospital, edia Eye ti Eye Hospital, Dang Hospital, ti Eye . Binod Neeta Kandel Eye Binod Neeta Kandel Eye . Eye Pokharel Ram Prasad . ollege of Medical Sciences, ollege of Medical Sciences, Mr. Rishi Ram Poudel, Prof. Dr. Dr. Prof. Rishi Ram Poudel, Mr. From: Participants Bahadurgunj, Kapilvastu Bahadurgunj, Lumbini Ey Dr Nawalparasi Hospital, Butwal Lions Ey Gaur Ey Sagarmatha Choudhar Himalaya Ey RM K Rap Lamahi Ey Chhanda Kalebabu Ey Geta Ey Dr Dhankuta Hospital, Center, Bhairahwa Center, Lahan Hospital, Bharatpur Chitwan Medical C C Bharatpur Hospital, NPI Samudayak Nursing C Bharatpur
1. 11. 11. Kathmandu Hospital, Kritipur Eye 12. 13. 3. 3. 5. 8. 9. 2. 2. 4. 6. 7. 10. 4. 4. 1. 1. 2. 3. RNB & Mr. Daya, Experts From: Daya, RNB & Mr. Mr. Krishna Raj Dharel, Mr. Prabhat Prabhat Mr. Krishna Raj Dharel, Mr. Joshi, y Eye y Eye
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e Hospital, e Hospital, e Hospital, e Hospital, e Institute e Hospital, e Hospital, e Hospital, Dang e Hospital, e Hospital, e Hospital, e Hospital, Kailali e Hospital, edia Eye Hospital, Bara Hospital, edia Eye ti Eye Hospital, Dang Hospital, ti Eye Chitwan & BEH . Binod Neeta Kandel Eye Binod Neeta Kandel Eye . Pokharel Ram Prasad . ollege of Medical Bharatpur ollege, Lumbini Ey Center, & Research Bhairahwa Dr Nawalparasi Hospital, Butwal Lions Ey Butwal Gaur Ey Rautahat Sagarmatha Choudhar Lahan Hospital, Himalaya Ey Pokhara RM K Rap Lamahi Ey Chhanda Kalebabu Ey Bahadurgunj, Hospital, Kapilvastu Geta Ey Kritipur Ey Kathmandu Dr Dhankut Hospital, Eye From: Participants Bharatpur Chitwan Medical C Chitwan C Bharatpur Sciences, Bharatpur Hospital, NPI Samudayak Nursing C Participants from NNJS, from NNJS, Participants
2. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 1. 4. 4. 1. 1. 2. 3. Mr. Krishna Raj Dharel, Mr. Mr. Krishna Raj Dharel, Mr. Rishi Ram Mr. Joshi, Prabhat RNB & Mr. Dr. Prof. Poudel, Experts From: Daya, Workshop, Seminar & CME Workshop, The Bharatpur Garden Resort, Bharatpur Days Venue Saturday 2076 21 Ashad, 21 Ashad, Date AD BS 2019 7 July, 7 July, Annex VII: List of Participants in International & National Seminar from Hospital Program Name Program Workshop on Workshop Ophthalmic Nursing 1 S. No.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw Hospital Hospital Kedia Eye Eye Kedia RM Prasad RM Prasad Bharatpur Eye Bharatpur Eye Sagarmatha Choudhary Hospital, Eye Lahan Sanghai, China TIO TIO, Kathmandu Himalaya Hospital, Eye Pokhara Nepal Eye TIO, Bank, Kathmandu The Hotel The Hotel Vishwa, Birgunj San Fransico, USA Aravind Eye Aravind Eye Care System The Red Sun Hotel, Bhairahwa Cornea Cornea Conference APVRS 2019 Conference Diabetic Retinopathy Optom Optom Conference-2019 Competency Evaluation, Training Refresher Bankers Eye for EROPHCON America AAO, AECS NOSCON SEVA/BBR Nepal Netra Jyoti Nepal Netra Jyoti Central Sangh, Dr. Puspa Giri Puspa Dr. Raghunandan Byanju & Dr. Dr. Prof. Simanta Khadka Ms. Anju Shrestha, Mr. Ramesh, Mr. Mr. Ramesh, Mr. Anju Shrestha, Ms. Binod Ramjanaki & Mr. Kashiram Bastola, Ejan Rajbhandari, Ejan Rajbhandari, Kashiram Bastola, Oas OT, Binita, Sajani, Chhaya, Prof. Dr. RNB, Dr. Sudha, Dr. Suchan, Suchan, Dr. Sudha, Dr. RNB, Dr. Prof. Mr. Daya, Mr. Benju. Dr. Sabina, Dr. Resham Ramesh & Mr. Giri Puspa Dr. Dr. Puspa Giri Puspa Dr. Manisha, Dr. Puspa, Dr. Sangita, Dr. Dr. Suchan, Dr. Sudha, Dr. Simanta, Dr. Raj Kumar Daya, Mr. Benju. Mr. Krishna Raj Dharel, Prof. Dr. Dr. Prof. Krishna Raj Dharel, Mr. Daya Shankar Mr. Raghunandan Byanju, Ramesh Ghimire Mr. Chaudhari, Mr. Daya Shankar Chaudhari, Mr. Mr. Daya Shankar Chaudhari, Mr. Ramesh Ghimire Dr. Puspa Giri Puspa Dr. Raghunandan Byanju & Dr. Prof. Simanta Khadka Dr. Prof. Dr. Raghunandan Byanju Dr. Prof. Raghunandan Byanju Dr. Prof. TIO Prof. Dr. Raghunandan Byanju Dr. Prof. Raghunandan Byanju Dr. Prof. Ms. Anju Shrestha, Mr. Binod & Mr. Anju Shrestha, Ms. Daman Mr. Kashiram Bastola, Ejan Kashiram Bastola, Sajani, Chhaya, Rajbhandari, Oas OT, Binita, Prof. Dr. RNB, Dr. Sudha, Dr. Dr. Sudha, Dr. RNB, Dr. Prof. Benju. Dr. Sabina, Dr. Suchan, Ramesh & Mr. Mr. Daya, Mr. Resham Giri Puspa Dr. Dr. Sangita, Dr. Puspa, Dr. Dr. Puspa, Dr. Sangita, Dr. Sudha, Dr. Simanta, Dr. Manisha, Daya, Mr. Benju. Dr. Suchan, Dr. Raj Kumar Mr. Krishna Raj Dharel, Prof. Dr. Dr. Prof. Krishna Raj Dharel, Mr. Daya Mr. Raghunandan Byanju, Ramesh Mr. Shankar Chaudhari, Ghimire Mr. Daya Shankar Chaudhari, Daya Shankar Chaudhari, Mr. Ramesh Ghimire Mr. Sagarmatha Choudhary Eye Lahan Hospital, China Sanghai, Tilganga Institute of Ophthalmology Tilganga Institute of Ophthalmology, Kathmandu Himalaya Eye Himalaya Eye Pokhara Hospital, The Hotel The Hotel Birgunj Vishwa, The Hotel Birgunj Vishwa, Chennai, IndiaChennai, Giri Puspa Dr. Sun The Red Bhairahwa Hotel, Hotel Suraj, Suraj, Hotel Birgunj United World United World Center, Trade Kathmandu Friday BEH Sunday Sunday Monday Tuesday Friday & Friday & Saturday Saturday Saturday Saturday Saturday Friday to Thursday Monday to Wednesday Saturday & Thursday to Thursday to 5-8 1-2 2076 2076 2076 2076 2076 2077 2076 2076 2076 2076 2076 2076 23-26 24-28 28-30 10-11 21-22 Kartik, Kartik, Bhadra, Bhadra, Ashwin, Ashwin, Ashwin, Ashwin, Ashwin, Ashwin, 3 Poush, 3 Poush, Mangsir, Mangsir, Mangsir, Mangsir, 4 Bhadra, 4 Bhadra, 7 Mangsir, 7 Mangsir, 2 Mangsir, 2 Mangsir, 21 Bhadra, 21 Bhadra, 7-8 7-8 Oct, Oct, Oct, Oct, Dec, Dec, Nov, Nov, 9-12 2019 2019 2019 2019 2019 2020 2019 2019 2019 2019 2019 2019 Sept, Sept, Sept, Sept, 27-28 27-28 21-24 11-15 14-16 18-19 7 Sept, 7 Sept, 21 Oct, 21 Oct, 20 Dec, 20 Dec, 23 Nov, 23 Nov, 18 Nov, 18 Nov, APVRS Conference Conference APVRS 2019 Competency Competency Evaluation, Training Refresher Bankers Eye for Environment Care Sustained Eye AAO Sanfransico, Sanfransico, AAO America 2019 2019 Optom 2019 Conference XXI NOSCON 2019, 2019, XXI NOSCON Bhairahwa XIII EROPHCON Birgunj 2019, Dak Foundation & Nepal Government supported Program Co-ordination Co-ordination Meeting / Annual Planning Meeting (BBR) 9 7 8 5 6 2 4 Connect Cornea 3 11 12 DR Meeting 10 Conference Cornea 13
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw LEI BEH SEVA SEVA SEVA Foundation TIO TIO LEI BEH CNNJS CNNJS Dharel Mr. Krishna Raj Mr. SEVA Delegates, Delegates, SEVA Center, Kham Eye China Tibet, BEH BEH Mr. Rishi Ram Poudel, Mr. Krishna Mr. Rishi Ram Poudel, Mr. Daya S. Mr. RNB, Dr. Prof. Raj Dharel, Raza Husain Mansuri Dr. Chaudhary, Mr. Krishna Raj Dharel, Prof. Dr. RNB, RNB, Dr. Prof. Krishna Raj Dharel, Mr. Mr. Daya Shankar Chaudhary, Mr. Mr. Anju Ligal, Ms. Gopal Bhandari, Sagarmatha Choudhary Binod Pandey, Tilganga Institute of Hospital, Eye Hospital, Nepal Eye Ophthalmology, Lumbini Eye Hospital, Himalaya Eye Rapti Center, Institute & Research Hospital, Fathe Bal Eye Hospital, Eye Hospital Bharatpur Eye Krishna Raj Dharel, Prof. Dr. Dr. Prof. Krishna Raj Dharel, Ramesh, Daya, Raghunandan Byanju, Incharge ECCs Binod, Daya Shankar Chaudhary, Anju Daya Shankar Chaudhary, Shrestha Manisha Dr. Daya, Mr. RNB, Dr. Prof. Raja Husain Mansuri, Dr. Shrestha, Sapana Ms. Ramesh Ghimire, Mr. Mr. Ranjana Pokharel, Ms. Pradhan. Lalu Thapa Magar, Ms. Subas Sapkota, Ram Chandar Mr. Ramesh Kharel, Mr. Dhana Kumari Thapa Ms. Mahato, Pradip Mr. Rama Gautam, Ms. Magar, Darai Prof. Dr. RNB Dr. Prof. Chaudhary, Daya S. Mr. RNB, Dr. Prof. Second Optom B. Gopal Bhandari, Mr. Students Year Mr. Rishi Ram Poudel, Mr. Mr. Rishi Ram Poudel, Mr. Dr. Prof. Krishna Raj Dharel, Dr. Chaudhary, Daya S. Mr. RNB, Raza Husain Mansuri Mr. Krishna Raj Dharel, Prof. Prof. Krishna Raj Dharel, Mr. Daya Shankar Mr. RNB, Dr. Gopal Bhandari, Mr. Chaudhary, Binod Mr. Anju Ligal, Ms. Sagarmatha Choudhary Pandey, Tilganga Institute Hospital, Eye Nepal of Ophthalmology, Himalaya Eye Hospital, Eye Institute Lumbini Eye Hospital, Eye Rapti Center, & Research Hospital, Fathe Bal Eye Hospital, Hospital Bharatpur Eye Krishna Raj Dharel, Prof. Dr. Dr. Prof. Krishna Raj Dharel, Daya, Raghunandan Byanju, Incharge ECCs Binod, Ramesh, Daya Shankar Chaudhary, Anju Daya Shankar Chaudhary, Shrestha Dr. Daya, Mr. RNB, Dr. Prof. Raja Dr. Manisha Shrestha, Ramesh Mr. Husain Mansuri, Sapana Pradhan. Ms. Ghimire, Subas Mr. Ranjana Pokharel, Ms. Lalu Thapa Magar, Ms. Sapkota, Ram Mr. Ramesh Kharel, Mr. Dhana Ms. Chandar Mahato, Rama Ms. Kumari Thapa Magar, Darai Pradip Mr. Gautam, Prof. Dr. RNB Dr. Prof. Daya S. Mr. RNB, Dr. Prof. Gopal Bhandari, Mr. Chaudhary, Students Year Second Optom B. Bougainvilla, Bougainvilla, Tripureshwor, Kathmandu Bharatpur Hospital, Eye Bharatpur, Chitwan Bharatpur Garden Bharatpur, Resort, Chitwan Lumbini Eye Lumbini Eye Institute Friday Friday Monday Tuesday BEH Saturday Saturday BEH Sunday & Wednesday BEH Thursday to 2076 2076 2076 2076 2076 2076 2076 11-12 Falgun, Falgun, 9 Poush, 9 Poush, 24 Magh, 24 Magh, 12 Poush, 12 Poush, 15 Poush, 16 Falgun, 16 Falgun, 9-11 Magh, 9-11 Magh, Jan, Jan, Feb, Feb, 2020 2020 2019 2019 2019 2020 2020 23-24 23-25 7 Feb, 7 Feb, 28 Feb, 28 Feb, 25 Dec, 25 Dec, 28 Dec, 28 Dec, 31 Dec, Eye Excel Follow-Up Follow-Up Excel Eye Bharatpur, Meeting, in Chitwan (PCL Ophthalmic Science Second Year) Investigative Ophthalmology) Mid-Term Review & Review Mid-Term Planning Meeting ECCs 2019.20 for Central Workshop, Workshop, Central CNNJS Follow - Up on Eye Up on Eye - Follow 2019 Excel RAPID ASSESSMENT OF AVOIDABLE BLINDNESS (RAAB) on: Workshop Dispensing of Ophthalmic Lenses Low and Optical Vision Devices Workshop on: Workshop Control Quality Series; Infection & Small Control Quality for Tools Management 20 14 19 15 16 18 17
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw Participants Name Participants Prof. Dr. D.N. Sah, Prof. Dr. RNB, Mr. Mr. RNB, Dr. Prof. Sah, D.N. Dr. Prof. Doctors Krishnaraj Dharel, Ms. Samara, Prof. Dr. RNB, Mr. Mr. RNB, Dr. Prof. Samara, Ms. Gopal Mr. Krishnaraj Dharel, Mr. Krishna Raj Dharel, Prof. Dr. RNB, RNB, Dr. Prof. Krishna Raj Dharel, Mr. Daya Mr. Valerie, Jason Melo, Gopal, Daya, Prof. Prof. Daya, Gopal, Jason Melo, Valerie, RNB Dr. Patrik, Sumedha, Bimal Sir, Daya, Daya, Bimal Sir, Sumedha, Patrik, Gopal Sir Chhaya, RP Kandel Sir, Sashi Mam, Parami Parami Sashi Mam, RP Kandel Sir, Ramesh Jee & Daya Mam, Mr. Shyam Kumar Pokharel, Mr Sailesh Shyam Kumar Pokharel, Mr. Krishna Raj Dharel, Mr. Kumar Mishra, Tejendra Mr. Jaya Ram Shreshta, Mr. Mira Ms. Shrestha, Pramod Mr. Khadka, Daya Mr. RNB, Dr. Prof. Kumar Rimal, Valerie & Dr. Jeremy ; Prof. Dr. RNB, RNB, Dr. Jeremy ; Prof. & Dr. Valerie Daya & Team Manisha, Dr. Maria, Dr. Sangita, Dr. Arjun, Chhya, Anju, Binod, Gopal, Samsher Sulaxmi Katuwal, Sunita: Dr. HMC Member, Co-ordinator, Thapa, School Technical Rapti Prof. Dr. RNB, Hospital Administrator Hospital RNB, Dr. Prof. & Doctors Prof. Dr. D.N. Sah, Prof. Dr. RNB, Mr. Mr. RNB, Dr. Prof. Sah, D.N. Dr. Prof. Doctors Krishnaraj Dharel, Ms. Samara, Prof. Dr. RNB, Mr. Krishnaraj Mr. RNB, Dr. Prof. Samara, Ms. Gopal Mr. Dharel, Mr. Krishna Raj Dharel, Prof. Dr. RNB, Mr. Mr. RNB, Dr. Prof. Krishna Raj Dharel, Mr. Daya Raza Husain Dr. Maria, Dr. Vivian, Dr. Raza Husain Dr. Maria, Dr. Vivian, Dr. Valerie, Jason Melo, Gopal, Daya, Prof. Prof. Daya, Gopal, Jason Melo, Valerie, RNB Dr. Patrik, Sumedha, Bimal Sir, Daya, Daya, Bimal Sir, Sumedha, Patrik, Gopal Sir Chhaya, RP Kandel Sir, Sashi Mam, Parami Mam, Mam, Parami Sashi Mam, RP Kandel Sir, Ramesh Jee & Daya Mr. Shyam Kumar Pokharel, Mr Sailesh Shyam Kumar Pokharel, Mr. Krishna Raj Dharel, Mr. Kumar Mishra, Tejendra Mr. Jaya Ram Shreshta, Mr. Mira Ms. Shrestha, Pramod Mr. Khadka, Daya Mr. RNB, Dr. Prof. Kumar Rimal, Valerie & Dr. Jeremy ; Prof. Dr. RNB, RNB, Dr. Jeremy ; Prof. & Dr. Valerie Daya & Team Dr. Sangita, Dr. Maria, Dr. Manisha, Manisha, Dr. Maria, Dr. Sangita, Dr. Sunita: Arjun, Chhya, Anju, Binod, Gopal, Co- Samsher Thapa, Sulaxmi Katuwal, Dr. Technical Rapti HMC Member, ordinator, School Prof. Dr. RNB, Hospital Administrator & Hospital RNB, Dr. Prof. Doctors Annex VIII BEH BEH Team Venue Chitwan & BEH from NNJS, Participants Meeting at BEH Meeting at on Oculoplasty & SightLife Local & SightLife Meeting with HMC Meeting & Training Meeting & Training Meeting and Field Visit Meeting and Observations (Bharatpur CMS & Hospital, CMC & Crimation Devghat Area, Meeting + ECCs Meeting + ECCs Visits Meeting Days Friday Friday Friday Sunday Monday Meeting Tuesday Thursday BEH to Monday Tuesday & Tuesday Wednesday Wednesday Wednesday Wednesday Wednesday Saturday to Thursday & & Thursday Thursday to Wednesday BEH 2019 2076 2076 2076 2076 2076 2076 2076 2075 25-30 24-25 9 Poush, 9 Poush, 3 Poush, 3 Poush, 8 Bhadra, 8 Bhadra, 6 Ashwin, 6 Ashwin, - 4 Poush, 4 Poush, - 16 Ashwin, 16 Ashwin, 28 Mangsir 2-7 Ashwin, 2-7 Ashwin, Bhadra, 2076 Bhadra, Bhadra, 2076 Bhadra, 18-19 Ashad, 18-19 Ashad, 9-10 Ashwin, 9-10 Ashwin, Date AD BS 2019 2019 2019 2019 2019 2019 19-24 26-27 11-16 10-11 14-20 3 Oct, 3 Oct, 25 Dec, 25 Dec, 20 Dec, 20 Dec, 25 Aug, 25 Aug, 23 Sept, 23 Sept, 3-4 July, 3-4 July, Dec, 2019 Dec, Sept, 2019 Sept, 2019 Sept, Sept, 2019 Sept, Sept, 2019 Sept, Program Name Program Meeting with Vice- Chancellor Meeting and on Training (Dr. Oculoplasty Vivian Yin) Meeting with Ms. Samara Andare (SightLife) Interaction meeting Interaction at CNNJS Meeting with Proctor Meeting with Proctor Foundation Team Meeting with Team SightLife Meeting with Sashi Consultant) (SEVA Meeting & Refresher Meeting & Refresher Census Supervisors, for FCHVs Worker, Meeting with Senior Shyam Mr. Vice-Chairman & Mr. Kumar Pokharel Sailesh Kumar Mishra, CNNJS Director Executive Observational Meeting from Rapti Hospital & Rapti Eye School Technical Dr. Badri Badhu Dr. (BPKIHS) 9 8 6 7 5 4 3 2 1 S. 10 11 No.
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H E 7 2019/20 std.: 198 Bh an Eye Hospital aratpur, Chitw Krihsna Raj Dharel, Jayaram Shrestha, Jayaram Shrestha, Krihsna Raj Dharel, Dr. RNB, Dr. Prof. Thapa, Tejendra Dr. Puspa, Dr. Maria, Dr. Sangita, Daya Shankar Chaudhary, Manisha, Ramesh Ghimire, Jayaram Shrestha, Krihsna Raj Dharel, Dr. RNB, Dr. Prof. Thapa, Tejendra Daya Shankar Chaudhary, Sangita, Ramesh Ghimire, Chhaya Shrestha, Gopal Sapkota Prof. Dr. RNB, Mr. Daya S. Chaudhary, Chaudhary, Daya S. Mr. RNB, Dr. Prof. Piyush Dr. Gopal Bhandari (Prof. Mr. Shrestha Mohan Kr. Mr. Dahal, Singh, Sanjaya Kr. Dr. Prof. (NAMS), (Biratnagar Eye Kumar Prithuee Mr. Raju Khaiti (Nepal Mr. Hospital), Gyanendra Dr. Prof. Hospital), Eye Mr. Sushila Patel, Dr. Lamichanne, Hari Thapa, Mr. Rayamajhi, Prakash TIO Sarshwati Khadka (LEI), Ms. Mr. Krishna Raj Dharel, Prof. Dr. RNB, RNB, Dr. Prof. Krishna Raj Dharel, Mr. Anju Ms. Chaudhary, Daya S. Mr. Mr. Gopal Bhandari, Mr. Shrestha, Kandel Ram Pd. Mr. Binod Bhandari, Eye Sagarmatha Coudhary (SEVA), Lahan; Tilganga Institute Hospital, Kathmandu; of Ophthalmology, Pokhara; Hospital, Himayaya Eye Institute & Research Lumbini Eye Hosptial, Eye Rapti Bhairahwa, Center, Hospital, Bal Eye Dang; Fatthe Hospital, Nepal Eye Nepalgunj, Hospital, Kathmandu; Bharatpur Eye Chitwan Prof. Dr. Raghunandan Byanju Dr. Prof. Dr. Yangjing, Senior Consultant Senior Consultant Yangjing, Dr. Senior Optometrist Yangchenyi, Dr. Optometrist Cirangzhima, Ms. Coordinator Gengrangzu, Mr. Manager Project Nimayongcuo, Ms. Executive Ramesh Kumar Pokahrel, Dr. Acharya, Krishna Prasad Mr. Director; Netra Neupane, Under Secretary; Mr. Srijana Ms. Health Inspector; Public Co-ordinator Provincial Poudel, Prof. Dr. RNB, Mr. Daya S. Chaudhary, Mr. Mr. Chaudhary, Daya S. Mr. RNB, Dr. Prof. Gopal Bhandari Mr. Krishna Raj Dharel, Prof. Dr. RNB, Mr. Mr. RNB, Dr. Prof. Krishna Raj Dharel, Mr. Anju Shrestha, Ms. Chaudhary, Daya S. Binod Bhandari Mr. Gopal Bhandari, Mr. Prof. Dr. Raghunandan Byanju Dr. Prof. Hospital Lumbini Eye Lumbini Eye Bhaatpur Eye Bhaatpur Eye Tilganga Institute of Ophthalmology Insitute, Bhairahwa Insitute, BEH Wednesday BEH Friday Monday to Thursday Friday Wednesday 2076 2020 2076 2076 2076 8 Magh, 8 Magh, 24 Mach, 24 Mach, 16 Falgun, 16 Falgun, 28 Falgun, 28 Falgun, 7-10 Poush, Poush, 7-10 2020 2020 2020 2020 23-26 7 Feb, 7 Feb, 22 Jan, 22 Jan, 28 Feb, 28 Feb, Dec, 2019 Dec, 11 March, 11 March, Subject Committee Committee Subject Optom) Meeting (B. Meeting with Social Health Insurance Board Eye Excel Follow-Up Follow-Up Excel Eye Meeting Meeting with Kham (KEC), Centre Eye Dartsedor, Ganzi Prefecture Hospital, People's China Tibet, NAMS Fellowship NAMS Fellowship Program Ophthalmology Meeting (Interview) Process) (Selection 13 14 12 15
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw Participants Mr. Yubaraj Dulal (Minister for Dulal (Minister for Yubaraj Mr. State 3) Social Development, Students Prof. Dr. Sanjay Singh, Dr. Dr. Sanjay Singh, Dr. Prof. Indraman Dr. Chunu Shrestha, Gyanendra Dr. Maharjan, Sulaxmi Dr. Lamichanne, Suresh Pant, Dr. Katuwal, Daya Mr. Sudhir Thakur, Mr. Shankar Chaudhary Participants NNJS & BEH Participants Kathmandu, Dhading & Kathmandu, Chitwan Branch Nominated NNJS Member (7 Eachin total 21) Students Prof. Dr. Sanjay Singh, Dr. Dr. Sanjay Singh, Dr. Prof. Indraman Dr. Chunu Shrestha, Gyanendra Dr. Maharjan, Sulaxmi Dr. Lamichanne, Suresh Pant, Dr. Katuwal, Daya Mr. Sudhir Thakur, Mr. Shankar Chaudhary Organizer Nepal Netra Jyoti Nepal Netra Jyoti Chitwan Sangh, of Medical College (CMS) Sciences Biratnagar Eye Hospital Biratnagar Eye Annex IX General Program at BEH at Program General SEVA Foundation for the Generous Support SEVA Bharatpur Garden Bharatpur Resort, Bharatpur Eye Hospital Virtual Meeting, Virtual Meeting, Bharatpur Eye Hospital Sunday Saturday to Tuesday Wednesday Wednesday Thank You 2019 2020 21-27 19 July, 19 July, 10 Aug, 10 Aug, Aug, 2019 Aug, Program NameProgram Date Days Venue NNJS State-3 Convention NNJS State-3 Convention Meeting at Bharatpur Garden Resort Practical Examination of Practical MBBS (CMS) Grading of NNJS Eye Hospital 1 2 3 S. No.
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Nepal Netra Jyoti Sangh (NNJS) Bharatpur-10, CHITWAN BRANCH S. N. Name Designation Remarks 1 Krishna Raj Dharel President Chitwan Branch 2 Mr. Chij Kumar Maskey Immediate Past President Chitwan Branch 3 Jaya Ram Shrestha (Bhairab) Vice-President Chitwan Branch 4 Dr. Unnat Shrestha Secretary Chitwan Branch 5 Tejendra Bahadur Khadka Treasurer Chitwan Branch 6 Keshab Parsad Adhikari Joint Secretary Chitwan Branch 7 Siddhartha Lal Chuke Joint Treasurer Chitwan Branch 8 Durga Laxmi Shrestha Member Chitwan Branch 9 Santa Kumar Piya Member Chitwan Branch 10 Rishi Ram Poudel Member Chitwan Branch 11 Nabaraj Sapkota Member Chitwan Branch 12 Kasturi Shrestha Member Chitwan Branch 13 Keshav Devkota Member Chitwan Branch 14 Dinesh Khanal Member Chitwan Branch 15 Prem Prava Chettri Member Chitwan Branch 16 Arun Pidit Bhandari Member Member (Bharatpur Metropolitan) 17 Sudha Joshi Member Chitwan Branch 18 Chiranjivi Subedi Member Chitwan Branch 19 Narayan Prasad Adhikari Member Chitwan Branch 20 Prabhat Kumar Joshi Advisor Ex. Chairperson, NNJS 21 Mahendra Lal Pradhan Advisor Ex. Chairperson, NNJS 22 Mr. K.L. Bhusan Advisor Chitwan Branch 23 Binod Kumar Shrestha Advisor Ex. Chairperson, NNJS 24 Prem Kumar Shrestha Advisor Ex. Chairperson, NNJS 25 Prof. Dr. Raghunandan Byanju Chief Medical Director Bharatpur Eye Hospital Nepal Netra Jyoti Sangh Hiralal Santu Devi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL Hospital Management Committee S. N. Name Designation 1 Krishna Raj Dharel Chairperson 2 Chija Kumar Maskey Member (CNNJS) 3 Jaya Ram Shrestha (Bhairab) Member 4 Tejendra Bahadur Khadka Member 5 Keshab Prasad Adhikari Member 6 Prof. Dr. Raghunandan Byanju Member 7 Daya Shankar Chaudhary Member Secretary Nepal Netra Jyoti Sangh (NNJS) HIRALAL SANTU DEVI PRADHAN INSTITUTE OF OPHTHALMIC SCIENCES Management Committee S. N. Name Designation Remarks 1 Prof. Dr. Chet Raj Pant Chairperson Central NNJS 2 Krishna Raj Dharel President NNJS Chitwan Branch 3 Dean, NAMS Member National Academy for Medical Sciences (NAMS) 4 Prabhat Kumar Joshi Member Advisor, NNJS 5 Vijaya Kumar Jha Member District Public Health Officer 6 Dr. Sangita Pradhan Member Ophthalmologist, BEH 7 Mahendra Lal Pradhan Member Advisor, NNJS 8 Rishi Ram Poudel Member Executive Committee, NNJS Chitwan Branch 9 Binod Kumar Shrestha Member Advisor, NNJS 10 Prof. Dr. Raghunandan Byanju Member Secretary Chief Medical Director, BEH 11 Daya Shankar Chaudhary Secretary Hospital Administrator, BEH
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Nepal Netra Jyoti Sangh Hiralal Santu Devi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL Recruitment & Evaluation Committee S. N. Name Designation 1 Jaya Ram Shrestha (Bhairab) Co-ordinator 2 Tejendra Bahadur Khadka Member 3 Keshab Parsad Adhikari Member 4 Subject Specialty Member 5 Prof. Dr. Raghunandan Byanju (Chief Medical Director) Member 6 Daya Shankar Chaudhari (Hospital Administrator) Member Secretary Nepal Netra Jyoti Sangh Hiralal Santu Devi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL Procurement Committee S. N. Name Designation Remarks 1 Chija Kumar Maskey Co-ordinator Executive Member, CNNJS 2 Jaya Ram Shrestha (Bhairab) Member Vice-President, NNJS (Chitwan) 3 Tejendra Bahadur Khadka Member Treasurer, NNJS (Chitwan) 4 Prof. Dr. Raghunandan Byanju Member Chief Medical Director 5 Gagan Prakash Baram Member Accountant 6 Arjun Ghimire Member Store Keeper 7 Daya Shankar Chaudhary Member Secretary Hospital Administrator Nepal Netra Jyoti Sangh Hiralal Santu Devi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL Medical Board S. N. Name Designation Remarks 1 Prof. Dr. Raghunandan Byanju Co-ordinator Chief Medical Director 2 Dr. Sangita Pradhan Member Ophthalmologist 3 Dr. Maria Gautam Member Ophthalmologist 4 Dr. Puspa Giri Member Ophthalmologist 5 Dr. Manisha Shrestha Member Ophthalmologist 6 Dr. Ranjeet Sah Member Ophthalmologist 7 Dr. Raja Husain Mansuri Member Ophthalmologist 8 Dr. Simanta Khadka Member Ophthalmologist 9 Ramesh Ghimire Member Outreach Co-ordinator 10 Daya Shankar Chaudhary Member Secretary Hospital Administrator Nepal Netra Jyoti Sangh Hiralal Santu Devi Pradhan Institute of Ophthalmic Sciences BHARATPUR EYE HOSPITAL Eye Bank Management Committee S. N. Name Designation Remarks 1 Prabhat Kumar Joshi Co-ordinator Advisor, NNJS 2 Bam Dev Khanal Member Advisor, NNJS 3 Rishi Ram Poudel Member Rishi Ram Poudel 4 Tejendra Bahadur Khadka Member NNJS, Chitwan Branch 5 Santa Kumar Piya Member NNJS, Chitwan Branch 6 Rajan Gautam Member President, FNCCI 7 Bal Gopal Chuke Member Life Member, NNJS Chitwan 8 Ashok Adhikari Member Past President, Bageshwari Lions Club 9 Binaya Shrestha Member Life Member, NNJS Chitwan 10 Daya Shankar Chaudhary Member Hospital Administrator, BEH 11 Dr. Puspa Giri Member Secretary Cornea Specialist, Medical Advisor
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ADMINISTRATION
Outreach Store Account Office Secretary
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HOSPITAL DEPARTMENTS
IT Registration Unit
Billing Unit OPD
Optical Unit
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Refraction Unit
Treatment Room Extended Health Services (Fast Track)
Cornea Collection Unit (Information Center)
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Operation Theater Unit
Clinical Lab Emergency Unit
Ward
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OPHTHALMIC IMAGING
Bio Medical Lab
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OPTICAL GRINDING LAB
Pharmacy Unit
Gardener Housekeeping
Drivers Security Guards
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HOSPITAL/EYE CARE CENTERS Bharatpur Eye Hospital, Thori, Parsa
Chij Kumar Bishnu Kumari OPD Services (City Clinic) Bharatpur
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Eye Care Center: Kawasoti, Nawalpur
Eye Care Center: Ratnanagar, Chitwan
Eye Care Center: Parsa, Chitwan
Eye Care Center: Madi, Chitwan
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Eye Care Center: Salyantar, Dhading
Eye Care Center: Chanauli, Chitwan
Eye Care Center: Simrongard, Bara
Eye Care Center: Kurintar, Chitwan
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INAUGURATION OF EYE CARE CENTER, RATNANAGAR
58 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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OBSERVATIONAL VISIT BY SEVA DELEGATES
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NNJS Convention
60 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
Delegates from Proctor Foundation, USA
Delegates from SightLife, USA
Training on Eye Banking Wheel Chair Support from Rotary Club
61 han Inst tute of rad Ey Op P ur e H ht vi p o h e t sp a d a lm r i u t i t a c a
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Workshop on Ophthalmic Nursing
SoHS Sports Week OA Football Winner Spectacles Support from SEVA
Street Drama NNJS Bagmati Province Team
62 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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NNJS Bagmati Province Convention, Bharatpur, Chitwan
NOSACON, Bhairahawa
Meeing on Eye Banking with Priest
Observational Visit at Narayani Eye Hospital, Birgunj Farewell to Dr. Sudha (MD Resident)
63 han Inst tute of rad Ey Op P ur e H ht vi p o h e t sp a d a lm r i u t i t a c a
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Operational Research Training, Sauraha, Chitwan
Eyexcel Follow-Up Meeting, BEH, Bhartapur
Farewell to Ms. Upama Pokhrel LEIRC Team Visit
64 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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Glaucoma Awarness Campaign
Mid-Term Review Meeting, Birgunj
Cultural Program Promoted by NNJS Chitwan
Prof. Dr. Rano Mal Priyani Visit Dr. Vivian Visit
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EROPHCON, Birgunj
BEH Annual Planning Meeting 2020/21
B. Optom Intern Certification BBR Meeting
Annual Report Dissemination 2018/19 Observational Visit by Rapti Eye Hospital, Dang
66 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
With NNJS Legend
CNNJS Delegates
Donated OT Equipment by Dr. Pradip
FCHV Traning
67 han Inst tute of rad Ey Op P ur e H ht vi p o h e t sp a d a lm r i u t i t a c a
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Delegates from Social Health Insurance Board NNJS Meeting, Kathmandu
Workshop Biratnagar
Tree Plantation
ForOptom Workshop, Pokhara EYEXCEL, Bhairahawa
68 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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BEH PICNIC
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BEH Extra Activities
70 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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H E 7 E 7 2019/20 std.: 198 std.: 198 2019/20 Bh an Eye Hospital Bh an Eye Hospital aratpur, Chitw aratpur, Chitw
WE ARE GRATEFUL TO OUR GENEROUS DONORS
Mahendra Lal Pradhan Binod Shrestha Hari Krishna Maharjan
Pritam Piya Bhimraj Pathak Late Usha Maya Pathak
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HEARTFELTHERTFELT CONDOLENCE CONDOLENCE
Born: April 6, 1931 Died: 22 December, 2019 LATE PROF DR RAM DASS SEVA Foundation Berkeley, California, USA
Bharatpur Eye Hospital Management and all the Hospital Staff express heartfelt condolence to the SEVA Team and the bereaved family for the sad demise of Prof Dr Ram Dass !
We pray to the almighty for heavenly abode of the departed soul !
May his soul rest in peace and give strength to the bereaved family and the SEVA team for the loss !
You Taught us What were real values, "Your Life Relfected Them" You Taught us what were True Values, "Integrity was your Obsession" You Taught us that, "No Man was above Himself" You Taught us that in, "Great Humanity" there is "Great Pride" In "Extreme Modesty" There is "Great Fulfillment" You were Our "Shining Star" Brighter Than any Galaxy A Star bright enough to light Our Paths till Eternity Nor Shall we ever be Lost Nor "Our SEVA Founder" Shall you ever Fade Away GREAT PEOPLE NEVER DIE - THEY LIVE ON FOR EVER
Prof. Dr. Raghunandan Byanju Mr. Chija Kumar Maskey Mr. Krishna Raj Dharel Chief Medical Director Past President, NNJS Chairman, Hospital Managerment Committee Bharatpur Eye Hospital Nepal Netra Jyoti Sangh, Chitwan Bharatpur Eye Hospital
72 han Inst tute of han Inst tute of rad Ey Op rad Ey Op P ur e H ht P ur e H ht vi p o h vi p o h e t sp a e t sp a d a lm d a lm r i r i u t i u t i t a c t a c a a
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